NEOMED CENTER, INC. (NPI# 1316324064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316324064 |
| Entity Type | Organization |
| Organization Name | NEOMED CENTER, INC. |
| Other Organization Name | NEOMED CENTER - SAN LORENZO- BEHAVIORAL HEALTH |
| Practice Address |
11 Calle Condado San Lorenzo PR 00754-4214 |
| Mailing Address |
Po Box 1277 Gurabo PR 00778-1277 |
| Practice Telephone | 7877372311 |
| Practice Fax Number | 7877370244 |
| Mailing Telephone | 7877372311 |
| Mailing Fax Number | 7877370244 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | DR. ROSA T CASTRO AVILA (CEO) |
| Authorized Official Telephone | 7877372311 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NEOMED CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | PK | 2118076 | 01 |
| Other Name | Type Code |
|---|---|
| NeoMed Center - San Lorenzo- Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093357337 | Neomed Center, Inc. | Clinic/Center | Street #31 Km 3.7, Lot #2, Naguabo, PR 00718 | 2019-10-08 |
| 1699200907 | Neomed Center, Inc. | Clinic/Center | Carr 189 Km 6.0, Rincon Industrial Park, Gurabo, PR 00778 | 2017-04-24 |
| 1427583731 | Neomed Center, Inc. | Clinic/Center | Carr 31 Km 22.6, Bo Ceiba Norte, Juncos, PR 00777 | 2017-04-24 |
| 1821460114 | Neomed Center, Inc. | Pharmacy | Carr. #31, Km 22.6 Bo. Ceiba Norte, Juncos, PR 00777 | 2015-10-26 |
| 1336519644 | Neomed Center, Inc. | Clinic/Center | Carr. #31, Km 22.6, Bo. Ceiba Norte, Juncos, PR 00777 | 2015-09-29 |
| 1427435189 | Neomed Center, Inc. | Clinic/Center | Carr 156 Km 41.3, Aguas Buenas, PR 00703 | 2015-05-01 |
| 1912384678 | Neomed Center, Inc. | Clinic/Center | Carr 941 Salida Bo Jaguas, Gurabo, PR 00778 | 2015-05-01 |
| 1821292947 | Neomed Center, Inc. | Clinic/Center | Carr 189 Parque Industrial 4, Bo. Rincon, Gurabo, PR 00778 | 2007-06-13 |
| 1316068026 | Neomed Center, Inc. | Pharmacy | Carr 941, Km 0.2, Salida Bo. Jaguas, Gurabo, PR 00778-1277 | 2007-04-02 |
| 1053846360 | Neomed Center, Inc. | Clinic/Center | 32 Calle Rafael Laza, Aguas Buenas, PR 00703 | 2017-04-24 |
| Street Address |
11 CALLE CONDADO |
| City | SAN LORENZO |
| State | PR |
| Zip Code | 00754-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700912490 | Adan Alejandro | General Practice | 11 Calle Condado, San Lorenzo, PR 00754-4214 | 2007-02-26 |
| 1114450145 | Neomed Center, Inc. | Clinic/Center | 11 Calle Condado, San Lorenzo, PR 00754-4214 | 2017-04-06 |
| 1851555080 | Neomed Center, Inc. | Pharmacy | 11 Calle Condado, San Lorenzo, PR 00754 | 2008-07-16 |
| 1124222682 | Neomed Center, Inc | Clinic/Center | 11 Calle Condado, San Lorenzo, PR 00754-4214 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373720 | Bartolo R Echeverria | Pharmacist | Munoz Rivera 106, Apt 1, San Lorenzo, PR 00754 | 2020-10-12 |
| 1417564741 | Mf Dynamic Billing Corp | Spec/Tech, Health Info | Bo Jagual Carr 181 Km 6 Los Rosales #57, San Lorenzo, PR 00754 | 2020-09-30 |
| 1215541156 | Yomara Flores | Psychologist | Urb. Savanah Real B2.341, San Lorenzo, PR 00754 | 2020-09-08 |
| 1720602352 | Osvaldo Ortiz Roldan Sr. | Non-emergency Medical Transport (VAN) | Bo Florida Carr 183, Ramal 9929 Km 1.6, San Lorenzo, PR 00754 | 2020-05-29 |
| 1992355788 | Keyshline Delie Esquilin | Specialist/Technologist | Urb. Aponte Calle Abanico, 3b, San Lorenzo, PR 00754 | 2019-09-13 |
| 1255989935 | Grolamis Burgos-monserrate | General Practice | Barrio Quebrada Carr 181 Ramal 929 Km 3.0, San Lorenzo, PR 00754 | 2019-08-27 |
| 1831653195 | Hector Carrion | Psychologist | Carr 181 Kmm 10.4, Bo Quebrada Honda, San Lotrenzo, PR 00754 | 2019-01-30 |
| 1942776547 | Carmen Yajaira Gomez | Pharmacy Technician | Urb. Santa Clara Carr 9931 Suite 1, San Lorenzo, PR 00754 | 2018-10-22 |
| 1265908859 | Cinthia Sanchez | Pharmacy Technician | Urb Santa Clara #150 Carr 9931 Suite 1, San Lorenzo, PR 00754 | 2018-10-22 |
| 1821564428 | Gladys M Alicea | Pharmacy Technician | Urb. Santa Clara #150 Carr 9931 Suite 1, San Lorenzo, PR 00754 | 2018-10-22 |
| Find all providers in zip 00754 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | SAN LORENZO |
| Zip Code | 00754 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.