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Organization
NEURO ONE LLC
Active
Organization
NEURO ONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA CARABALLO MD (PRESIDENT)
(787) 608-1101
Entity
Organization
Contact information
Practice address
525 FD ROOSEVELT AVE LA TORRE DE PLAZA, SUITE 1112, HATO REY, PR 00918
(787) 608-1101
(380) 203-1302
Mailing address
PO BOX 360634, SAN JUAN, PR 00936-0634
(787) 608-1101
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
06/30/2020
Last updated
08/19/2021
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