NPIMap

Organization Active NPI

Neomed Center, Inc.

Doing business as NeoMed Center - Trujillo Alto Dental

  • Dental Clinic/Center
  • Trujillo Alto, PR
National Provider Identifier
1477930113
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11 Issued in PR
Legal business name
NEOMED CENTER, INC.
Doing business as
NeoMed Center - Trujillo Alto Dental
Practice address
130 Calle Carite
Urb. Lago Alto
Trujillo Alto, PR 00976
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
Dental Clinic/Center 261QD0000X 11 PR Primary

Addresses

Primary practice location

130 Calle Carite
Urb. Lago Alto
Trujillo Alto, PR 00976

Mailing address

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

Other names 1

  • NeoMed Center - Trujillo Alto Dental 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": "1477930113",
    "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": "130 CALLE CARITE",
            "address_2": "URB. LAGO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoMed Center - Trujillo Alto Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trujillo Alto, 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.