Healthcare Provider Details
I. General information
NPI: 1922944933
Provider Name (Legal Business Name): JOINT VITA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
576 CALLE CESAR GONZALEZ STE 506
SAN JUAN PR
00918-3758
US
IV. Provider business mailing address
576 CALLE CESAR GONZALEZ STE 506
SAN JUAN PR
00918-3758
US
V. Phone/Fax
- Phone: 787-772-1007
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MARITERE
NEGRONI
Title or Position: PRESIDENT
Credential: PT
Phone: 305-898-0853