Neurovida LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROVIDA LLC

Practice address

230 Avenida Arterial Hostos
Apartment 405 E
San Juan, PR 00918-1472

Phone

(787) 636-0600

NPI assigned

May 18, 2020

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ernesto Emmanuel Borrero Sr., MDNPI 1598166233

Title

Physician,President

Phone

(787) 636-0600

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Ernesto Borrero, MD

  • Neurology Physician
  • San Juan, PR
  • NPI 1598166233
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1790307312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 AVENIDA ARTERIAL HOSTOS",
            "address_2": "APT 405 E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "939-400-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 AVENIDA ARTERIAL HOSTOS",
            "address_2": "APARTMENT 405 E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181472",
            "telephone_number": "787-636-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROVIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-05-07",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "PHYSICIAN,PRESIDENT",
        "authorized_official_telephone_number": "787-636-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurologicmd P.S.C.
• Neurologicmd P.S.C.
• Neuromovement MMG, LLC
• Neuroped Eye PR LLC
• Neurosurgical Oncology Group
• Carmen Milagros Nevares, M.D
• Mayra Nevares, PH.D.
• Ramon Vicente Nevares, MD
• Roberto Luis Nevares, MD
• Mario R. Nevarez Alonso, M.D.

• Neurology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.