| Elderly Multidisciplinary Services Corp | |
|
Carr 129 Int 454 Bo Callejones 2nd Floor Lares PR 00669 | |
| (787) 462-4077 | |
| Not Available |
| Full Name | Elderly Multidisciplinary Services Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Carr 129 Int 454 Bo Callejones 2nd Floor, Lares, Puerto Rico |
| Authorized Official Name and Position | Eduardo Luis Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7874624077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elderly Multidisciplinary Services Corp Po Box 3409 Bayamon PR 00958-0409 Ph: (787) 462-4077 | Elderly Multidisciplinary Services Corp Carr 129 Int 454 Bo Callejones 2nd Floor Lares PR 00669 Ph: (787) 462-4077 |
| NPI Number | 1346564473 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346564473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3660 (Puerto Rico) | Primary |
Centro De Psicoterapia Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Ave. Los Patriotas 502, Lares, PR 00669 Phone: 787-374-7192 |