Organization Active NPI

Neuroactivo Memory Care Services LLC.

Doing business as Neuroactivo Memory Care Center

  • Alzheimer Center (Dementia Center)
  • Arecibo, PR
National Provider Identifier
1396415865
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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, PTANPI 1598364960
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.