Provider Demographics
NPI:1598656449
Name:NEURO MOVIMIENTO LLC
Entity type:Organization
Organization Name:NEURO MOVIMIENTO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SURILLO-DAHDAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-951-7325
Mailing Address - Street 1:PO BOX 190151
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-0151
Mailing Address - Country:US
Mailing Address - Phone:787-621-3755
Mailing Address - Fax:
Practice Address - Street 1:CALLE HERNANDEZ CARRION #668
Practice Address - Street 2:URB. ATHENAS, TORRE MEDICA S611, MANATI MEDICAL CENTER
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty