NPIMap

Organization Active NPI

Neomed Center, Inc

Doing business as NeoMed Center-OPD Gurabo

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
National Provider Identifier
1790776334
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEOMED CENTER, INC
Doing business as
NeoMed Center-OPD Gurabo
Practice address
941 San Antonio Final St RT
Salida Barrio Jaguas
Gurabo, PR 00778-1277
Phone
(787) 737-2311
Fax
(787) 737-0244
NPI assigned
Nov 2, 2005
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 12

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Dental Clinic/Center 261QD0000X
Emergency Care Clinic/Center 261QE0002X
Federally Qualified Health Center (FQHC) 261QF0400X PR Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X
Urgent Care Clinic/Center 261QU0200X
Clinical Medical Laboratory 291U00000X
Eyewear Supplier 332H00000X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

941 San Antonio Final St RT
Salida Barrio Jaguas
Gurabo, PR 00778-1277

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
401832OtherPRMEDICARE PART A

Other names 1

  • NeoMed Center-OPD Gurabo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040414001654 PR Part B Supplier - Clinic/Group Practice 1850284100 Receives reassigned benefits from 117 practitioners
1 other NPI on this enrollment
Practice locations: Gurabo, PR; Aguas Buenas, PR; Trujillo Alto, PR; San Lorenzo, PR; Juncos, PR; Naguabo, PR
O20150629000707 PR Part A Provider - Federally Qualified Health Center (FQHC) 1850284100 Practice locations: Gurabo, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790776334. Details of each certification follow.

Federally qualified health center certification: CCN 401832

Legal name
NEOMED CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 29, 2015
Last certification
Jun 29, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 2, 1994 in PR
Enrollment address
Carr. 941 Salida Bo. Jaguas
Gurabo, PR 7781277

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Miguel Gonzalez Gonzalez Individual Corporate OfficerCfo Jun 10, 2015
W-2 Managing EmployeeCfo Jun 10, 2015
Jonathan Melendez Avilez Individual W-2 Managing EmployeeCco Jun 10, 2015
Elvin Feliciano Echevarria Individual W-2 Managing EmployeeFinance Supervisor Jun 10, 2015
Rosa Castro Avila Individual Corporate OfficerCeo Jun 10, 2015
W-2 Managing EmployeeCeo Jun 10, 2015

Practitioners & affiliated clinicians

Practitioners 122

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.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1790776334",
    "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": "941 SAN ANTONIO FINAL ST RT",
            "address_2": "SALIDA BARRIO JAGUAS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781277",
            "telephone_number": "787-737-2311",
            "fax_number": "787-737-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOMED CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "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": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "401832",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoMed Center-OPD Gurabo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.