Healthcare Provider Details

I. General information

NPI: 1851632780
Provider Name (Legal Business Name): METRO PAVIA HEALTHCARE CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 03/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 129 INTERIOR ZONA INDUSTRIAL VICTOR ROJAS II
ARECIBO PR
00613
US

IV. Provider business mailing address

PO BOX 9976 COTTO STATION
ARECIBO PR
00613-9976
US

V. Phone/Fax

Practice location:
  • Phone: 787-650-0090
  • Fax: 787-650-0099
Mailing address:
  • Phone: 787-650-0020
  • Fax: 787-650-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number33
License Number StatePR

VIII. Authorized Official

Name: MRS. ADALIS MORALES
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 787-650-0090