Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NOVAVIDA HEALTH CLINIC LLC
NPI 1063336972
General Practice in Bayamon, PR

Active since August 05, 2026
36 CALLE BARBOSA ESQ MANUEL F. ROSSY, BAYAMON, PR 00960(787) 995-1900 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Novavida Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVAVIDA HEALTH CLINIC LLC (NPI 1063336972) is a healthcare organization registered as a general practice in Bayamon, Puerto Rico and active in the NPI registry since August 2026. The organization lists Lourmartigh Ortiz, President, as its authorized official.

NPPES Registry Identity

NPI1063336972
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNOVAVIDA HEALTH CLINIC LLC
Location Address36 CALLE BARBOSA ESQ MANUEL F. ROSSYBayamon, PR 00960
Mailing AddressHc 11 Box 48140Caguas, PR 00725-9071
Organization SubpartNo
Authorized OfficialLourmartigh OrtizPresident · (787) 373-1947
Enumeration DateAugust 5, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1063336972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novavida Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Novavida Health Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1366133712
715 AVE PONCE DE LEON
San Juan, PR 00917
(787) 758-2000
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novavida Health Clinic LLC's NPI number?

The NPI number for Novavida Health Clinic LLC is 1063336972. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Novavida Health Clinic LLC located?

Novavida Health Clinic LLC is located at 36 Calle Barbosa Esq Manuel F. Rossy, Bayamon, PR 00960. The listed phone number is (787) 995-1900.

What is Novavida Health Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Novavida Health Clinic LLC enrolled in Medicare?

Yes. Novavida Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novavida Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Novavida Health Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Novavida Health Clinic LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.