Organization
ELDERLY MULTIDISCIPLINARY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO LUIS RODRIGUEZ PSY D (PRESIDENT)
(787) 462-4077
Entity
Organization
Contact information
Practice address
CARR 129 INT 454 BO CALLEJONES 2ND FLOOR, LARES, PR 00669
(787) 462-4077
Mailing address
PO BOX 3409, BAYAMON, PR 00958-0409
(787) 462-4077
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3660
PR
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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