Provider Demographics
NPI:1811701287
Name:MERLE, ELIO JOSE SR (MBA)
Entity type:Individual
Prefix:
First Name:ELIO
Middle Name:JOSE
Last Name:MERLE
Suffix:SR
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:HC 64 BOX 7230
Mailing Address - Street 2:BARRIO JACABOA SECTOR MERLE
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723
Mailing Address - Country:US
Mailing Address - Phone:787-226-3677
Mailing Address - Fax:
Practice Address - Street 1:CALLE VISTA MAR # 166
Practice Address - Street 2:BARRIO GUARDARRAYA SECTOR RECIO
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-226-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR137310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility