Organization
NEOMED CENTER, INC.
Active
Parent organization
NEOMED CENTER, INC.
Other names
NeoMed Center - San Lorenzo- Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEOMED CENTER, INC.
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118076
PK
PR
Enumeration date
05/01/2015
Last updated
05/01/2015
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