ELDERS OF PUERTO RICO, PSC
NPI 1225541949
Clinic/Center - Primary Care in San Juan, PR

Active since November 16, 2017
368 CALLE DE DIEGO APT 602, SAN JUAN, PR 00923(787) 753-0663 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2018, Nov 16, 2017 (2 updates tracked since 2017).

About Elders Of Puerto Rico, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELDERS OF PUERTO RICO, PSC (NPI 1225541949) is a healthcare organization registered as a primary care in San Juan, Puerto Rico and active in the NPI registry since November 2017. The organization lists Edesther Alejandra Caballero-gippson, Dra, as its authorized official.

NPPES Registry Identity

NPI1225541949
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELDERS OF PUERTO RICO, PSC
Location Address368 CALLE DE DIEGO APT 602San Juan, PR 00923-2928
Mailing Address368 Calle De Diego Apt 602San Juan, PR 00923-2928 · (787) 753-0663
Organization SubpartNo
Authorized OfficialEdesther Alejandra Caballero-gippsonDra · (787) 530-6633
Enumeration DateNovember 16, 2017
Last NPPES UpdateApril 2, 20182 updates tracked since enumeration
✔ NPI 1225541949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PR · 3988

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elders Of Puerto Rico, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Elders Of Puerto Rico, Psc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Psychologist
NPI 1194011452
PMB 410 DE DIEGO AVE 89 SUITE 105
San Juan, PR 00927
(787) 530-6633
✔ PECOS✔ Accepts Medicare
Clinical Psychologist
NPI 1417805045
1135 CALL 5 URB. VILLA NEVAREZ
San Juan, PR 00927
(787) 530-6633
✔ PECOS
Clinical Social Worker
NPI 1730423245
URB. MOUNTAIN VW 134 CALLE GUILARTE
Coamo, PR 00769
(787) 974-6579
✔ PECOS✔ Accepts Medicare
Psychologist Billing Independently
NPI 1548592595
1826 FERNANDEZ JUNCOS AVE. STOP 26 1/2
San Juan, PR 00909
(787) 726-8396
✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elders Of Puerto Rico, Psc's NPI number?

The NPI number for Elders Of Puerto Rico, Psc is 1225541949. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Elders Of Puerto Rico, Psc located?

Elders Of Puerto Rico, Psc is located at 368 Calle De Diego Apt 602, San Juan, PR 00923. The listed phone number is (787) 753-0663.

What is Elders Of Puerto Rico, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Elders Of Puerto Rico, Psc enrolled in Medicare?

Yes. Elders Of Puerto Rico, Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elders Of Puerto Rico, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Elders Of Puerto Rico, Psc, in Clinical Psychologist, Clinical Social Worker and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elders Of Puerto Rico, Psc was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.