OrganizationActive
Revitalize Clinics Inc
NPI 1215724067 · General Practice Physician · Miami, FL
Revitalize Clinics Inc is a General Practice Physician organization in Miami, FL (NPI 1215724067).
Provider details
- NPI number
- 1215724067
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roberto Perdomo, Owner(305) 215-2999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
860 Nw 42nd Ave Ste 406
Miami, FL 33126-4176
Phone: (786) 636-8084
Street-level locationGet directions
Mailing address
860 Nw 42nd Ave Ste 406
Miami, FL 33126-4176
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Revitalize Clinics Inc's NPI number?
- Revitalize Clinics Inc's National Provider Identifier (NPI) is 1215724067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Clinics Inc?
- Revitalize Clinics Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revitalize Clinics Inc located?
- Revitalize Clinics Inc's practice location on file with NPPES is 860 Nw 42nd Ave Ste 406, Miami, FL 33126-4176.
- What is Revitalize Clinics Inc's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Clinics Inc is (786) 636-8084.
- Who is the authorized official for Revitalize Clinics Inc?
- The authorized official listed on Revitalize Clinics Inc's NPPES record is Roberto Perdomo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Clinics Inc's NPI active?
- Yes — Revitalize Clinics Inc's NPI (1215724067) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.