Healthcare Provider Details

I. General information

NPI: 1134435431
Provider Name (Legal Business Name): METRO PONCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 05/15/2020
Certification Date: 05/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7218 CALLE RAMON POWER
PONCE PR
00717-1661
US

IV. Provider business mailing address

PO BOX 331910
PONCE PR
00733-1910
US

V. Phone/Fax

Practice location:
  • Phone: 787-848-5600
  • Fax: 787-651-5686
Mailing address:
  • Phone: 787-848-5600
  • Fax: 787-651-5686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number3
License Number StatePR

VIII. Authorized Official

Name: RAFAEL ALVARADO
Title or Position: EXECUTIVE DIRECTOR
Credential: MHSA
Phone: 787-848-5600