Metro Pavia Healthcare Centers Inc
Organization Active NPI Multi-Specialty Clinic/Center · Arecibo, PR
NPI 1104166750 · NPPES record last updated Mar 11, 2013
Key facts
- NPI
- 1104166750
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 41 (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
- Organization subpart
- Yes
- Parent organization (as reported)
- METRO PAVIA HEALTHCARE CENTERS INC
Authorized official
- Name
- Mrs. Adalis Morales
- Title
- Billing Supervisor
- Phone
- (787) 650-0090
Other NPIs on the same Medicare enrollment 9
Practitioners 19
-
David Azzaro, M.D.
-
Mildred Boschetti, M.D.
-
Ricardo Antonio Pineiro, M.D.
-
Nielson Jose Reyes, M. D.
-
Natalia Soto Ruiz, M. D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Metro Pavia Healthcare Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 41 | PR | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41 | Other | PR | STATE LICENSE |
Other names
- Sala Emergencia MetroPavia Clinic Arecibo
Other providers in Arecibo, PR
- Metro Pavia Healthcare Center
- Metro Pavia Healthcare Center
- Metro Pavia Healthcare Center
- Metro Pavia Healthcare Centers
- Metro Pavia Healthcare Centers Inc
- Metro Pavia Healthcare Centers Inc
- Metro Pavia Healthcare Centers Inc
- Metro Pavia Healthcare Centers Inc
- Metro Pavia Pharmacy Inc
- Metro Pharmacy, Inc.
All providers in Arecibo, PR · Multi-Specialty Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.