Neomed Center, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in San Lorenzo, PR. Organization (NPI-2).
NPI number1124222682
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1124222682
- Entity type
- Organization (NPI-2)
- Legal business name
- Neomed Center, INC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2007
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Neomed Center-Opd San Lorenzo (Doing Business As)
Practice location
11 Calle CondadoSan Lorenzo, PR 00754-4214
Phone 787-737-2311 · Fax 787-737-0244
Mailing address
Po Box 1277Gurabo, PR 00778-1277
Phone 787-737-2311 · Fax 787-737-0244
Authorized official
Rosa T Castro-Avila
Ceo
7877372311
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