OrganizationActive
Gerivitality Holdings LLC
NPI 1164276929 · Geriatric Medicine (Internal Medicine) Physician · Lajas, PR
Provider details
- NPI number
- 1164276929
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Faudes Lugo Morales, President(787) 314-8430
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
38 Calle Amistad Ste 2b
Lajas, PR 00667-2072
Phone: (787) 718-0566
Fax: (787) 652-4278
Street-level locationGet directions
Mailing address
Po Box 560
Lajas, PR 00667-0560
Registry dates
- Enumerated
- 2024-04-16
- Last updated
- 2024-12-28
- Certified
- 2024-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.