Provider Demographics
NPI:1346618790
Name:ERO NEUROLOGY HEALTH SERVICES P.S.C
Entity Type:Organization
Organization Name:ERO NEUROLOGY HEALTH SERVICES P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:J
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-413-4294
Mailing Address - Street 1:500 AVE JESUS TORIBIO PINERO
Mailing Address - Street 2:COND PARQUE DE LOYOLA TORRE SUR APT 1401
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-413-4294
Mailing Address - Fax:787-998-0735
Practice Address - Street 1:500 AVE JESUS TORIBIO PINERO
Practice Address - Street 2:COND PARQUE DE LOYOLA TORRE SUR APT 1401
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1401
Practice Address - Country:US
Practice Address - Phone:787-413-4294
Practice Address - Fax:787-998-0735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0093138Medicare PIN