Provider Demographics
NPI:1457126138
Name:CENTRO NEUROLOGICO DEL CARIBE, LLC.
Entity type:Organization
Organization Name:CENTRO NEUROLOGICO DEL CARIBE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-507-6733
Mailing Address - Street 1:PO BOX 270041
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-2837
Mailing Address - Country:US
Mailing Address - Phone:787-507-6733
Mailing Address - Fax:787-767-1692
Practice Address - Street 1:SUITE 404 LAS AMERICAS PROFESSIONAL BUILDING
Practice Address - Street 2:AVE. DOMENECH 400
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928-0092
Practice Address - Country:US
Practice Address - Phone:787-507-6733
Practice Address - Fax:787-767-1692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center