Healthcare Provider Details

I. General information

NPI: 1538063912
Provider Name (Legal Business Name): NEUROMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE MAYAGUEZ
SAN JUAN PR
00917-4935
US

IV. Provider business mailing address

1687 CALLE PORTUGUES
SAN JUAN PR
00926-3117
US

V. Phone/Fax

Practice location:
  • Phone: 787-990-3660
  • Fax:
Mailing address:
  • Phone: 787-602-4660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: INES MARIA BRULL RIOS
Title or Position: PRESIDENT, PHYSICAL THERAPIST
Credential: DPT
Phone: 787-602-4660