NPIMap

Organization Active NPI

Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Trujillo Alto, PR
National Provider Identifier
1801090923
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.
Practice address
130 Calle Carite
Urbanizacion Lago Alto
Trujillo Alto, PR 00976
Phone
(787) 737-2311
Fax
(787) 737-2311
NPI assigned
Jun 13, 2007
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 11

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Dental Clinic/Center 261QD0000X
Emergency Care Clinic/Center 261QE0002X
Federally Qualified Health Center (FQHC) 261QF0400X PR Primary
Adult Mental Health Clinic/Center 261QM0850X
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

130 Calle Carite
Urbanizacion Lago Alto
Trujillo Alto, PR 00976

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
42OtherPRLICENCE

Other names 1

  • NeoMed Center-TA-OPD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150629000077 PR Part A Provider - Federally Qualified Health Center (FQHC) 1850284100 Practice locations: Trujillo Alto, PR

Federally qualified health center certification: CCN 401830

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
130 Calle Carite, Urb Lago Alto
Trujillo Alto, PR 976

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Neomed Center Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

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 Director Sep 1, 2010
Jonathan Melendez Avilez Individual Corporate OfficerChief Operation Officer Jan 1, 2015
W-2 Managing EmployeeCoo Jan 1, 2015
Elvin Feliciano Echevarria Individual W-2 Managing Employee Jul 1, 2013
Rosa Castro Avila Individual Corporate OfficerChief Executive Officer Oct 7, 2007
W-2 Managing EmployeeChief Executive Officer Oct 7, 2007

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1801090923",
    "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": "URBANIZACION LAGO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-737-2311",
            "fax_number": "787-737-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOMED CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "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": "193200000X MULTI-SPECIALTY 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": "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": "LICENCE",
            "identifier": "42",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoMed Center-TA-OPD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeoMed Center-TA-OPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.