Organization Active NPI

Metrohealth Central Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arecibo, PR
National Provider Identifier
1356861397
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
METROHEALTH CENTRAL CORPORATION
Practice address
502 Borinquen Avenue
Arecibo, PR 00612
Phone
(787) 650-7275
Fax
(787) 650-7310
NPI assigned
Jun 21, 2017
Organization subpart
Yes
Parent organization
METROHEALTH CENTRAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Lisandra Hermina
Title
Billing Supervisor
Phone
(787) 650-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

502 Borinquen Avenue
Arecibo, PR 00612

Mailing address

PO Box 659
Arecibo, PR 00613
Phone (787) 650-7275

Other names 1

  • Clinica Medicina Conductual Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metrohealth Central Corporation2 organizations share this tax ID, including this one
Part of
Metrohealth Central Corporation

Other organizations with this tax ID 1

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

Locations

500 Ave Borinquen
#R
Arecibo, PR 00612

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1356861397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-7275",
            "fax_number": "787-650-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BORINQUEN AVENUE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-7275",
            "fax_number": "787-650-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROHEALTH CENTRAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROHEALTH CENTRAL CORPORATION",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "HERMINA",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "787-650-7272"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medicina Conductual",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2018; 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.