Organization Name: | NEOMED CENTER, INC. |
NPI Number: | 1285011932 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSA CASTRO AVILA (CEO) |
Mailing Address: | Carr 941 Salida Bo Jaguas Gurabo |
State: | PR US |
Postal Code: | 00778 |
Phone Number: | 7877372311 |
Fax Number: | 7877370244 |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |