Active NPI
Neuroactivo Inc
- Alzheimer Center (Dementia Center)
- Dorado, PR
National Provider Identifier
1588166557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- NEUROACTIVO INC
- Practice address
- P55 Calle 9
Rio Lajas
Dorado, PR 00646 - Phone
- (939) 265-8370
- NPI assigned
- Mar 6, 2018
- 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
- Yaelis C Acevedo, BACS
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PR | ||
| In Home Supportive Care Agency | 253Z00000X | PR | ||
| Health Service Clinic/Center | 261QH0100X | PR | ||
| Alzheimer Center (Dementia Center) | 311500000X | Primary |
Addresses
Primary practice location
P55 Calle 9
Rio Lajas
Dorado, PR 00646
Mailing address
1206 Calle 62 SE
San Juan, PR 00921-3134
Phone (939) 265-8370
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.
-
- 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": "1520294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602979200000",
"number": "1588166557",
"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": "939-265-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "P55 CALLE 9",
"address_2": "RIO LAJAS",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "939-265-8370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROACTIVO INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-06",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A",
"authorized_official_last_name": "ACEVEDO",
"authorized_official_first_name": "YAELIS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "939-265-8370",
"authorized_official_credential": "BACS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.