NPIMap

Organization Active NPI

Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
National Provider Identifier
1821292947
Registry record updated Jun 4, 2024
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
Carr 189 Parque Industrial 4
Bo. Rincon
Gurabo, PR 00778
Phone
(787) 737-2311
Fax
(787) 737-2344
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dr. Rosa T Castro Avila, MD
Title
Ceo
Phone
(787) 737-2311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

Carr 189 Parque Industrial 4
Bo. Rincon
Gurabo, PR 00778

Mailing address

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

Other practice location 1

Carr 941 Salida Bo Jaguas
Gurabo, PR 00778
Phone (787) 737-2311 ext. 298

Other names 1

  • NeoMed Center-Clinic Doing business as

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

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": "1717459200000",
    "number": "1821292947",
    "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": "CARR 189 PARQUE INDUSTRIAL 4",
            "address_2": "BO. RINCON",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-2311",
            "fax_number": "787-737-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 941 Salida Bo Jaguas",
            "address_purpose": "LOCATION",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "country_code": "US",
            "telephone_number": "787-737-2311 x298",
            "fax_number": "787-737-0244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEOMED CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoMed Center-Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeoMed Center-Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.