NPIMap

Organization Active NPI

Metro Toa Baja, Inc.

Doing business as Metro Pavia Clinic Toa Baja

  • Emergency Care Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1073057642
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
METRO TOA BAJA, INC.
Doing business as
Metro Pavia Clinic Toa Baja
Practice address
Ave Sabana Seca Int 867
Toa Baja, PR 00951
Phone
(787) 230-7530
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maria Lopez
Title
VP Operational Senior
Phone
(787) 230-7530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
Emergency Care Clinic/Center 261QE0002X PR Primary

Addresses

Primary practice location

Ave Sabana Seca Int 867
Toa Baja, PR 00951

Mailing address

400 Calle Calaf
PMB 455
San Juan, PR 00918
Phone (787) 230-7530

Other names 1

  • Metro Pavia Clinic Toa Baja Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214000628 PR Part B Supplier - Clinic/Group Practice 0446510382 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
Practice locations: Toa Baja, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Metro Toa Baja Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1073057642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE CALAF",
            "address_2": "PMB 455",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-230-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SABANA SECA INT 867",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00951",
            "telephone_number": "787-230-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TOA BAJA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VP OPERATIONAL SENIOR",
        "authorized_official_telephone_number": "787-230-7530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Pavia Clinic Toa Baja",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.