Active NPI
Neuroactivo Memory Care Services LLC.
Doing business as Neuroactivo Memory Care Center
- Alzheimer Center (Dementia Center)
- Arecibo, PR
National Provider Identifier
1396415865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- NEUROACTIVO MEMORY CARE SERVICES LLC.
- Doing business as
- Neuroactivo Memory Care Center
- Practice address
- Carr. #683 KM. 0.1
Arecibo, PR 00612 - Phone
- (787) 689-4245
- NPI assigned
- Sep 16, 2021
- Last updated
- Sep 16, 2021
- 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
- Mrs. Yaelis Coral Acevedo, MPH-GERO, CDS, PTA
- Title
- President
- Phone
- (939) 265-8370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | NU | Primary |
Addresses
Primary practice location
Carr. #683 KM. 0.1
Arecibo, PR 00612
Mailing address
1206 Calle 62 SE
San Juan, PR 00921-3134
Phone (787) 689-4245
Other names 1
- Neuroactivo Memory Care Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapy Assistant
- San Juan, PR
- NPI 1598364960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1396415865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 CALLE 62 SE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213134",
"telephone_number": "787-689-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. #683 KM. 0.1",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-689-4245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROACTIVO MEMORY CARE SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "ACEVEDO",
"authorized_official_first_name": "YAELIS",
"authorized_official_middle_name": "CORAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "939-265-8370",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPH-GERO, CDS, PTA"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neuroactivo Memory Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.