NPIMap

Organization Active NPI

Neomed Center, Inc.

Doing business as NeoMed Center - San Lorenzo- Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Lorenzo, PR
National Provider Identifier
1316324064
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEOMED CENTER, INC.
Doing business as
NeoMed Center - San Lorenzo- Behavioral Health
Practice address
11 Calle Condado
San Lorenzo, PR 00754-4214
Phone
(787) 737-2311
Fax
(787) 737-0244
NPI assigned
May 1, 2015
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEOMED CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Rosa T Castro Avila, M.D.
Title
Ceo
Phone
(787) 737-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11 Calle Condado
San Lorenzo, PR 00754-4214

Mailing address

PO Box 1277
Gurabo, PR 00778-1277
Phone (787) 737-2311

Other identifiers 1

IdentifierTypeStateIssuer
2118076OtherPRPK

Other names 1

  • NeoMed Center - San Lorenzo- Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neomed Center - Mobile Unit33 organizations share this tax ID, including this one
Part of
Neomed Center - Mobile Unit

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1316324064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781277",
            "telephone_number": "787-737-2311",
            "fax_number": "787-737-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE CONDADO",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544214",
            "telephone_number": "787-737-2311",
            "fax_number": "787-737-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOMED CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEOMED CENTER, INC.",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "CASTRO AVILA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-737-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118076",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoMed Center - San Lorenzo- Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.