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NPI 1649641820

NPI 1649641820 : METRO PAVIA HEALTHCARE CENTERS : ARECIBO, PR

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General NPI Number Information
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    NPI Number           |    1649641820
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    Entity Type          |    Organization 
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    Legal Business Name  |    METRO PAVIA HEALTHCARE CENTERS 
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Dates
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    Enumeration Date     |    10/13/2015
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    ZONA INDUSTRIAL VICTOR ROJAS 2 CARR 129 
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    City                 |    ARECIBO
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    State                |    PR
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    Zip                  |    00613
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    Country              |    US
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    Telephone            |    787-772-9850
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    Fax                  |    787-274-8895
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9976 COTTO STATION
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    City                 |    ARECIBO
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    State                |    PR
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    Zip                  |    00613-9976
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    Country              |    US
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    Telephone            |    787-772-9850
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    Fax                  |    787-274-8895
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. VIVIAN  SOLIVAN 
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    Credential           |    
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    Telephone            |    787-234-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    2080P0206X
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    Taxonomy Name        |    Pediatric Gastroenterology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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