# NEOMED CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NeoMed Center-Gurabo Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316068026
- **Authorized official:** DR. ROSA T. CASTRO-AVILA M.D. (CEO)
- **Authorized official phone:** (787) 737-2311

## Contact information

- **Practice address:** CARR 941, KM 0.2,, SALIDA BO. JAGUAS, GURABO, PR 00778-1277
- **Practice address phone:** (787) 737-2311
- **Practice address fax:** (787) 737-0244
- **Mailing address:** PO BOX 1277, GURABO, PR 00778-1277
- **Mailing address phone:** (787) 737-2311
- **Mailing address fax:** (787) 737-0244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | PR | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 11/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17-F-3116 | LICENSE NUMBER | PR |