Active NPI
Neuro One LLC
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Hato Rey, PR
National Provider Identifier
1275150823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | Primary | ||
| Neurology Physician | 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 DirectoryLocations
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.