NPIMap

Organization Active NPI

Metro Pavia Healthcare Centers Inc

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
National Provider Identifier
1104166750
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
41 Issued in PR
Legal business name
METRO PAVIA HEALTHCARE CENTERS INC
Practice address
Carr 129
Zona Industrial Victor Rojas II
Arecibo, PR 00612
Phone
(787) 650-0020
Fax
(787) 650-0099
NPI assigned
Feb 19, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
METRO PAVIA HEALTHCARE CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Mrs. Adalis Morales
Title
Billing Supervisor
Phone
(787) 650-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 41 PR Primary

Addresses

Primary practice location

Carr 129
Zona Industrial Victor Rojas II
Arecibo, PR 00612

Mailing address

PO Box 9976
Cotto Station
Arecibo, PR 00613-9976
Phone (787) 650-0090

Other names 1

  • Sala Emergencia MetroPavia Clinic Arecibo Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630000203 PR Part B Supplier - Clinic/Group Practice 8022232271 Receives reassigned benefits from 51 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ponce, PR; Carolina, PR; Bayamon, PR; Arecibo, PR

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Part of
Metro Pavia Healthcare Centers Inc

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1104166750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9976",
            "address_2": "COTTO STATION",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139976",
            "telephone_number": "787-650-0090",
            "fax_number": "787-650-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129",
            "address_2": "ZONA INDUSTRIAL VICTOR ROJAS II",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-0020",
            "fax_number": "787-650-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA HEALTHCARE CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO PAVIA HEALTHCARE CENTERS INC",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ADALIS",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "787-650-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sala Emergencia MetroPavia Clinic Arecibo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.