Organization
NEOMED CENTER, INC.
Active
Other names
NeoMed Center-Gurabo Pharmacy
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
CARR 941, KM 0.2,, SALIDA BO. JAGUAS, GURABO, PR 00778-1277
(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
3336C0003X
Community/Retail Pharmacy
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-F-3116
LICENSE NUMBER
PR
Enumeration date
04/02/2007
Last updated
11/19/2015
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