NPI | 1316324072 |
---|---|
Doing Business As | NEOMED CENTER - AGUAS BUENAS PUEBLO |
Entity Type | Organization |
Authorized Contact | ROSA T. CASTRO-AVILA CEO 787-737-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2015-05-01 |
Last Update Date | 2024-06-04 |