Healthcare Provider Details

I. General information

NPI: 1548525298
Provider Name (Legal Business Name): METROPOLITAN DIPHOM SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 07/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HIGHWAY 129, RD. 492 INTERSECTION
ARECIBO PR
00612
US

IV. Provider business mailing address

PO BOX 9081
ARECIBO PR
00613-9081
US

V. Phone/Fax

Practice location:
  • Phone: 787-544-6804
  • Fax: 787-898-6200
Mailing address:
  • Phone: 787-544-6804
  • Fax: 787-898-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MISS EVALIZ RODRIGUEZ
Title or Position: OPERATIONS DIRECTOR
Credential: TEMP
Phone: 787-544-6804