| Eternity Health Llc | |
|
Rovira Office Park 623 Ave. La Ceiba Suite 201 Ponce PR 00717-1901 | |
| (939) 238-9856 | |
| Not Available |
| Full Name | Eternity Health Llc |
|---|---|
| Speciality | General Practice |
| Location | Rovira Office Park 623 Ave. La Ceiba, Ponce, Puerto Rico |
| Authorized Official Name and Position | Gerald L Zayas (MEMBER) |
| Authorized Official Contact | 9392389856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eternity Health Llc Rovira Office Park 623 Ave. La Ceiba Suite 201 Ponce PR 00717-1901 Ph: () - | Eternity Health Llc Rovira Office Park 623 Ave. La Ceiba Suite 201 Ponce PR 00717-1901 Ph: (939) 238-9856 |
| NPI Number | 1821833765 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821833765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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