Metro Toa Baja Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

METRO TOA BAJA INC.

Practice address

Ave Sabana Seca
Via Primavera
Toa Baja, PR 00949

Phone

(787) 230-7530

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Lopez

Title

VP Operacional Senior

Phone

(787) 280-7530

Specialties & licenses 7

Addresses

Other names 1

• Metro Pavia Clinic Toa Baja - Clinica Externa Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Metro Toa Baja, Inc.

  • Emergency Care Clinic/Center
  • Toa Baja, PR
  • NPI 1073057642

  O20180214000628

  Same enrollment
• Metro Toa Baja, Inc.

  • Radiology Clinic/Center
  • Toa Baja, PR
  • NPI 1699392233

  O20180214000628

  Same enrollment

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.

• Metro Toa Baja Inc.

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1184337354
  NPD tax ID
• Metro Toa Baja Inc.

  • Community Health Clinic/Center
  • Toa Baja, PR
  • NPI 1578025888
  NPD tax ID
• Metro Toa Baja, Inc.

  • Emergency Care Clinic/Center
  • Toa Baja, PR
  • NPI 1073057642
  NPD tax ID
• Metro Toa Baja, Inc.

  • Radiology Clinic/Center
  • Toa Baja, PR
  • NPI 1699392233
  NPD tax ID

Practitioners 3

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

• Alexandra Marie Fernandez-de Thomas, 22652 MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1528685682
  NPD
• Emanuel Gonzalez Flores, MD

  • General Practice Physician
  • Bayamon, PR
  • NPI 1629845870
  NPD
• Carla Michelle Hernandez Mercado

  • General Practice Physician
  • Toa Baja, PR
  • NPI 1952636607
  NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1104389840",
    "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",
            "address_2": "VIA PRIMAVERA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-230-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TOA BAJA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-01-07",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VP OPERACIONAL SENIOR",
        "authorized_official_telephone_number": "787-280-7530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Pavia Clinic Toa Baja - Clinica Externa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Pavia Clinic Toa Baja - Clinica Externa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aurora Mercado
• Oscar E. Mercado
• Yazai Merced Carmona
• Ana I Mercedes
• Metro Imaging, PSC
• Metro Toa Baja Inc.
• Metro Toa Baja Inc.
• Metro Toa Baja, Inc.
• Metro Toa Baja, Inc.
• Metropolitan Cardiovascular CSP

• Internal Medicine Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.