NUTREVITA CLINIC LLC
NPI 1811684210
Clinic/Center in Rio Grande, PR
About Nutrevita Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NUTREVITA CLINIC LLC (NPI 1811684210) is a healthcare organization registered as a clinic/center in Rio Grande, Puerto Rico and active in the NPI registry since April 2023. The organization lists Monica Santiago Gordian, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nutrevita 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 Nutrevita Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Rio Grande, PR 00745
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 Nutrevita Clinic LLC's NPI number?
The NPI number for Nutrevita Clinic LLC is 1811684210. It was assigned to this organization in the NPPES registry on April 18, 2023.
Where is Nutrevita Clinic LLC located?
Nutrevita Clinic LLC is located at Calle Garcia De La Noceda B26 Villas De Rio Grande, Rio Grande, PR 00745. The listed phone number is (787) 550-2510.
What is Nutrevita Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Nutrevita Clinic LLC enrolled in Medicare?
Yes. Nutrevita Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nutrevita Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Nutrevita 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 Nutrevita Clinic LLC was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Nutrevita Clinic Llc · NPI 1811684210
Clinic/Center organization in Rio Grande, Puerto Rico. Organization record, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1811684210 (Entity type: Organization)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Monica Santiago Gordian, DIRECTOR
## Practice location
- **Address:** CALLE GARCIA DE LA NOCEDA B26, VILLAS DE RIO GRANDE, Rio Grande, PR 00745
- **Phone:** (787) 550-2510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1811684210) · Data from the CMS NPPES public registry.