Organization
NEOMED CENTER, INC
Active
Organization
NEOMED CENTER, INC
Active
Other names
NeoMed Center-OPD San Lorenzo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA T CASTRO-AVILA M.D. (CEO)
(787) 737-2311
Entity
Organization
Contact information
Practice address
11 CALLE CONDADO, SAN LORENZO, PR 00754-4214
(787) 737-2311
(787) 737-0244
Mailing address
PO BOX 1277, GURABO, PR 00778-1277
(787) 737-2311
(787) 737-0244
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/11/2007
Last updated
07/17/2024
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