ETERNAL LIFE SERVICES CORP
NPI 1700420205
Clinic/Center - Developmental Disabilities in Miami, FL

Q: What is Eternal Life Services Corp's NPI number?

The NPI number for Eternal Life Services Corp is 1700420205. It was assigned to this organization in the NPPES registry on October 29, 2019.

Q: What is Eternal Life Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since October 29, 2019

15552 SW 11TH TER, MIAMI, FL 33194(305) 753-6270 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eternal Life Services Corp NPPES

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

ETERNAL LIFE SERVICES CORP (NPI 1700420205) is a healthcare organization registered as a developmental disabilities in Miami, Florida and active in the NPI registry since October 2019. The organization lists Gustavo Rodriguez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700420205

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameETERNAL LIFE SERVICES CORP

Location Address15552 SW 11TH TERMiami, FL 33194-2789

Mailing Address15552 Sw 11th TerMiami, FL 33194-2789

Phone(305) 753-6270

Organization SubpartNo

Authorized OfficialGustavo RodriguezCeo · (305) 753-6270

Enumeration DateOctober 29, 2019

✔ NPI 1700420205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

15552 SW 11TH TER, Miami, FL 33194

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Eternal Life Services Corp's NPI number?

The NPI number for Eternal Life Services Corp is 1700420205. It was assigned to this organization in the NPPES registry on October 29, 2019.

Where is Eternal Life Services Corp located?

Eternal Life Services Corp is located at 15552 SW 11th Ter, Miami, FL 33194. The listed phone number is (305) 753-6270.

What is Eternal Life Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

What insurance does Eternal Life Services Corp accept?

Health plans from Ambetter Health and Ambetter of Alabama list Eternal Life Services Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eternal Life Services Corp was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.