# NEOMED CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NeoMed Center-TA-Immunization
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629599899
- **Authorized official:** DR. ROSA T CASTRO AVILA MD (CEO)
- **Authorized official phone:** (787) 737-2311

## Contact information

- **Practice address:** 130 CALLE CARITE, URB LAGO ALTO, TRUJILLO ALTO, PR 00976
- **Practice address phone:** (787) 737-2311
- **Mailing address:** PO BOX 1277, GURABO, PR 00778-1277
- **Mailing address phone:** (787) 737-2311
- **Mailing address fax:** (787) 737-2377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 11 | PR | Yes |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 06/28/2017