# NEO MED CENTER, INC

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

## Provider details

- **NPI number:** 1871020479
- **Authorized official:** DR. ROSA T CASTRO AVILA MD (CEO)
- **Authorized official phone:** (787) 737-2311

## Contact information

- **Practice address:** CARR 941 SALIDA, BO JAGUAS, GURABO, PR 00778
- **Practice address phone:** (787) 737-2311
- **Practice address fax:** (787) 737-2377
- **Mailing address:** PO BOX 1277, GURABO, PR 00778-1277
- **Mailing address phone:** (787) 737-2311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 42 | PR | Yes |

## Other

- **Enumeration date:** 05/15/2017
- **Last updated:** 05/15/2017