Active NPI
Eternity Health LLC
- General Practice Physician
- Ponce, PR
National Provider Identifier
1821833765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ETERNITY HEALTH LLC
- Practice address
- Rovira Office Park 623 Ave. la Ceiba
Suite 201
Ponce, PR 00717-1901 - Phone
- (939) 238-9856
- NPI assigned
- Jul 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald L Zayas, MD
- Title
- Member
- Phone
- (939) 238-9856
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
Rovira Office Park 623 Ave. la Ceiba
Suite 201
Ponce, PR 00717-1901
Mailing address
Rovira Office Park 623 Ave. la Ceiba
Suite 201
Ponce, PR 00717-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
623 Ave La Ceiba
Ste 201
Ponce, PR 00717
Phone (787) 392-3018
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Ponce, PR
- NPI 1760625388
-
- General Practice Physician
- Ponce, PR
- NPI 1780125120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1821833765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROVIRA OFFICE PARK 623 AVE. LA CEIBA",
"address_2": "SUITE 201",
"city": "PONCE",
"state": "PR",
"postal_code": "007171901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROVIRA OFFICE PARK 623 AVE. LA CEIBA",
"address_2": "SUITE 201",
"city": "PONCE",
"state": "PR",
"postal_code": "007171901",
"telephone_number": "939-238-9856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETERNITY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-01",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "ZAYAS",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "939-238-9856",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.