Metro North Medical Group LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

METRO NORTH MEDICAL GROUP LLC

Practice address

Calle 1 G12 Villa Matilde
Toa Alta, PR 00953

Phone

(787) 473-0888

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Itza Doris Chevres, MD

Title

Ceo

Phone

(939) 645-0504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1245709823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540867",
            "telephone_number": "787-473-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 G12 VILLA MATILDE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-473-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO NORTH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "ITZA",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "939-645-0504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glyseth Melendez Perez, LIC.
• Ana Melendez
• Myrelsie Melendez
• Katia Marie Mercado, LMT
• Samyra Negron Mercado, MS
• Metro Pavia @ Home
• Mia Servicios Optomtricos
• Zonia Miranda
• Erick Yadiel Miro Rivera
• Ernesto Mojica-Alvarez, MS/MHC

• Case Manager/Care Coordinator in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Case Manager/Care Coordinator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.