| Neuro One Llc | |
|
525 Fd Roosevelt Ave La Torre De Plaza Suite 1112 Hato Rey PR 00918 | |
| (787) 608-1101 | |
| (380) 203-1302 |
| Full Name | Neuro One Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 525 Fd Roosevelt Ave La Torre De Plaza, Hato Rey, Puerto Rico |
| Authorized Official Name and Position | Sonia Caraballo (PRESIDENT) |
| Authorized Official Contact | 7876081101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro One Llc Po Box 360634 San Juan PR 00936-0634 Ph: (787) 608-1101 | Neuro One Llc 525 Fd Roosevelt Ave La Torre De Plaza Suite 1112 Hato Rey PR 00918 Ph: (787) 608-1101 |
| NPI Number | 1275150823 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Medicare PECOS PAC ID | 1355768235 |
|---|---|
| Medicare Enrollment ID | O20200825000842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275150823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| Provider Name | Sonia Caraballo-cartagena |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184025132 PECOS PAC ID: 7517384399 Enrollment ID: I20200825001103 |
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