MEDICARE: NEURO SOLUTIONS CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1164885257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO SOLUTIONS CORP

Provider Business Mailing Address
First Line	:	PO BOX 2500
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00970-2500
Country	:	US
Telephone Number	:	787-622-6836
Fax Number	:	787-622-6839

Provider Business Practice Location Address
First Line	:	484 CALLE E
Second Line	:	LOS FRAILES INDUSTRIAL PARK
City	:	GUAYNABO
State	:	PR
Zip	:	00969-3454
Country	:	US
Telephone Number	:	787-622-6836
Fax Number	:	787-622-6839

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOSE A ALVAREZ
Credential	:
Telephone Number	:	787-622-6836

Provider Enumeration Date	:	04/05/2016
Last Update Date	:	04/05/2016

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Directions to “NEURO SOLUTIONS CORP ” Practice Location

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