Healthcare Provider Details

I. General information

NPI: 1386578789
Provider Name (Legal Business Name): KP NEUROLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LAS VISTAS SHOPPING VLG
SAN JUAN PR
00926-6088
US

IV. Provider business mailing address

PO BOX 261927
SAN JUAN PR
00926-2649
US

V. Phone/Fax

Practice location:
  • Phone: 787-429-1109
  • Fax:
Mailing address:
  • Phone: 787-429-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KARYLANE PALERMO CRUZ
Title or Position: OWNER
Credential: MD
Phone: 787-429-1109