Organization Active NPI

Neuro One LLC

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Hato Rey, PR
National Provider Identifier
1275150823
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
Legal business name
NEURO ONE LLC
Practice address
525 FD Roosevelt Ave la Torre de Plaza
Suite 1112
Hato Rey, PR 00918
Phone
(787) 608-1101
Fax
(380) 203-1302
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonia Caraballo, MD
Title
President
Phone
(787) 608-1101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0008X Primary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

525 FD Roosevelt Ave la Torre de Plaza
Suite 1112
Hato Rey, PR 00918

Mailing address

PO Box 360634
San Juan, PR 00936-0634
Phone (787) 608-1101

National Provider Directory

National Provider Directory

Locations

525 Ave Fd Roosevelt
Ofc 1112
San Juan, PR 00918
Phone (787) 608-1101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1275150823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360634",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360634",
            "telephone_number": "787-608-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 FD ROOSEVELT AVE LA TORRE DE PLAZA",
            "address_2": "SUITE 1112",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-608-1101",
            "fax_number": "380-203-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-608-1101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.