Organization
NEUROVIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO EMMANUEL BORRERO SR. MD (PHYSICIAN,PRESIDENT)
(787) 636-0600
Entity
Organization
Contact information
Practice address
230 AVENIDA ARTERIAL HOSTOS, APARTMENT 405 E, SAN JUAN, PR 00918-1472
(787) 636-0600
Mailing address
230 AVENIDA ARTERIAL HOSTOS, APT 405 E, SAN JUAN, PR 00918
(939) 400-8432
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/18/2020
Last updated
05/07/2024
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