# IVITALITY HEALTH L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053186452
- **Authorized official:** MRS. LIMARY SANTIAGO (DIENA)
- **Authorized official phone:** (787) 585-9910

## Contact information

- **Practice address:** 76 CALLE UNION JAIME RODRIGUEZ, LOCAL A1, GUAYNABO, PR 00969
- **Practice address phone:** (787) 585-9910
- **Mailing address:** 5900 AVE ISLA VERDE STE 2-375, CAROLINA, PR 00979-5746
- **Mailing address phone:** (787) 585-9910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 10/06/2026