Organization
NEOMED CENTER, INC
Active
Other names
NeoMed Center-TA-Immunization
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA T CASTRO AVILA MD (CEO)
(787) 737-2311
Entity
Organization
Contact information
Practice address
130 CALLE CARITE, URB LAGO ALTO, TRUJILLO ALTO, PR 00976
(787) 737-2311
Mailing address
PO BOX 1277, GURABO, PR 00778-1277
(787) 737-2311
(787) 737-2377
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11
PR
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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