# GARDEN OF EDEN HEALTH CENTER CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821656703
- **Authorized official:** MS. ALICIA RODRIGUEZ DAVILA (PRESIDENT)
- **Authorized official phone:** (407) 414-5511

## Contact information

- **Practice address:** BO MAMEYES ARRIBA SECTOR VISTA ALEGRE, CARR 141 KM 13.1, JAYUYA, PR 00664
- **Practice address phone:** (939) 403-4226
- **Mailing address:** PO BOX 553, JAYUYA, PR 00664-0553
- **Mailing address phone:** (939) 403-4226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 03/02/2022