Provider Demographics
NPI:1467257758
Name:ALLEN, NEAL BENJAMIN (RPSGT)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:BENJAMIN
Last Name:ALLEN
Suffix:
Gender:
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GRAND PASEO BLVD
Mailing Address - Street 2:STE 112 PMB 182
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5955
Mailing Address - Country:US
Mailing Address - Phone:805-405-7255
Mailing Address - Fax:
Practice Address - Street 1:64 CALLE SANTA CRUZ STE 103
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7001
Practice Address - Country:US
Practice Address - Phone:787-473-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other