Eternal Life Services Corp
NPI 1700420205 · Developmental Disabilities Clinic/Center · Miami, FL
Eternal Life Services Corp is a Developmental Disabilities Clinic/Center organization in Miami, FL (NPI 1700420205).
Provider details
- NPI number
- 1700420205
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gustavo Rodriguez, Ceo(305) 753-6270
Specialties & taxonomies
Ambulatory Health Care Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-29
- Last updated
- 2019-10-29
Frequently asked questions
- What is Eternal Life Services Corp's NPI number?
- Eternal Life Services Corp's National Provider Identifier (NPI) is 1700420205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eternal Life Services Corp?
- Eternal Life Services Corp is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eternal Life Services Corp located?
- Eternal Life Services Corp's practice location on file with NPPES is 15552 Sw 11th Ter, Miami, FL 33194-2789.
- What is Eternal Life Services Corp's phone number?
- The practice phone number listed in the NPPES registry for Eternal Life Services Corp is (305) 753-6270.
- Who is the authorized official for Eternal Life Services Corp?
- The authorized official listed on Eternal Life Services Corp's NPPES record is Gustavo Rodriguez, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eternal Life Services Corp's NPI active?
- Yes — Eternal Life Services Corp's NPI (1700420205) is active in the NPPES registry as of the last update on 2019-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.