El Geronte Ederly Services Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

EL GERONTE EDERLY SERVICES INC

Practice address

Carr 171 KM 4.4
Barrio Rincon
Cidra, PR 00739

Phone

(787) 714-3731

NPI assigned

Jul 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manuel Enrique Caballero

Title

Gerontology Administrator

Phone

(787) 739-8170

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093914947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HACIENDA PRIMAVERA BOX 56",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399372",
            "telephone_number": "787-714-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 171 KM 4.4",
            "address_2": "BARRIO RINCON",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL GERONTE EDERLY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "GERONTOLOGY ADMINISTRATOR",
        "authorized_official_telephone_number": "787-739-8170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Diaz
• Nilsa I. Diaz
• Maria Dopazo Sr., PHARM D
• Dra. Mariola Fernandez Rodriguez, LLC
• Dregco Dental LLC
• Farmacia Beatriz LLC.
• Farmacia San Jose
• Farmacia San Pablo, Inc.
• Yolanda Feliciano, RPT
• Alberto Fernandez Torres, M.D.

• Pediatric Skilled Nursing Facility in Cidra, PR
• Providers in Cidra, PR by specialty
• Pediatric Skilled Nursing Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.