Healthcare Provider Details

I. General information

NPI: 1982511770
Provider Name (Legal Business Name): JSC NEURO MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E37 CALLE HERNANDEZ CARRION
MANATI PR
00674-4622
US

IV. Provider business mailing address

10 SUNDOWN ST
BAYAMON PR
00959
US

V. Phone/Fax

Practice location:
  • Phone: 787-621-3700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE SANDOVAL
Title or Position: PRESIDENT
Credential: MD
Phone: 787-621-3700