ELDERLY MULTIDISCIPLINARY SERVICES CORP NPI 1346564473

NPI Information

  • NPI: 1346564473
  • Provider Name: ELDERLY MULTIDISCIPLINARY SERVICES CORP
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: CARR 129 INT 454 BO CALLEJONES 2ND FLOOR
    LARES, PR
    ZIP 00669
  • Phone: (787) 462-4077

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NPI Details

ELDERLY MULTIDISCIPLINARY SERVICES CORP is a mental health (including community mental health center) clinic center in Lares, PR. ELDERLY MULTIDISCIPLINARY SERVICES CORP NPI is 1346564473. The provider is registered as an organization entity type.

The provider's business location address is:

CARR 129 INT 454 BO CALLEJONES 2ND FLOOR
LARES, PR
ZIP 00669
Phone: (787) 462-4077

The provider's authorized official is Eduardo Luis Rodriguez .
The authorized official title is President and has the following contact phone number (787) 462-4077.

The enumeration date for this NPI number is 3/18/2010 and was last updated on 3/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)3660PUERTO RICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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