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Organization
NEUROACTIVO INC
Active
Organization
NEUROACTIVO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAELIS C ACEVEDO BACS (PRESIDENT)
(939) 265-8370
Entity
Organization
Contact information
Practice address
P55 CALLE 9, RIO LAJAS, DORADO, PR 00646
(939) 265-8370
Mailing address
1206 CALLE 62 SE, SAN JUAN, PR 00921-3134
(939) 265-8370
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
PR
253Z00000X
In Home Supportive Care Agency
—
PR
261QH0100X
Health Service Clinic/Center
—
PR
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
10/18/2020
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