Healthcare Provider Details

I. General information

NPI: 1336214485
Provider Name (Legal Business Name): METRO MEDICAL HEALTH GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SANTA CRUZ STREET # 20
BAYAMON PR
00960-5598
US

IV. Provider business mailing address

PO BOX 6598
BAYAMON PR
00960-5598
US

V. Phone/Fax

Practice location:
  • Phone: 787-778-0315
  • Fax: 787-778-0330
Mailing address:
  • Phone: 787-778-0315
  • Fax: 787-778-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number StatePR

VIII. Authorized Official

Name: DR. HECTOR J. CANDELAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-778-0315