Healthcare Provider Details

I. General information

NPI: 1447451232
Provider Name (Legal Business Name): METROPOLITAN OTORINOLARINGOLOGY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL METROPOLITANO SUITE 206 CARR. 21 #1785 LAS LOMAS
RIO PIEDRAS PR
00921
US

IV. Provider business mailing address

URB. FLORES MONTEHIEDRA BLVD. DE LA MONTANA APT 643
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-706-1315
  • Fax: 787-781-5923
Mailing address:
  • Phone: 787-706-1315
  • Fax: 787-781-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number13177
License Number StatePR

VIII. Authorized Official

Name: DR. GUSATVO ANDRES MELERO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-706-1315