Organization Active NPI

Metro Medical Dental Associates Inc.

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1447420419
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2762 Issued in PR
Legal business name
METRO MEDICAL DENTAL ASSOCIATES INC.
Practice address
1995 Carr # 2
Suite 2804
Bayamon, PR 00959-2804
Phone
(787) 966-7200
Fax
(787) 966-7161
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Jose Arturo Davila, D.D.S.
Title
Dentist/Partner
Phone
(787) 966-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2762 PR Primary

Addresses

Primary practice location

1995 Carr # 2
Suite 2804
Bayamon, PR 00959-2804

Mailing address

1995 Carretera # 2
Suite 2804
Bayamon, PR 00959-2804
Phone (787) 966-7200

National Provider Directory

National Provider Directory
Tax ID family
Metro Medical Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1995 Carr 2
Ste 2804
Bayamon, PR 00959
Phone (787) 966-7200

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1447420419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 CARRETERA # 2",
            "address_2": "SUITE 2804",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592804",
            "telephone_number": "787-966-7200",
            "fax_number": "787-966-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 CARR # 2",
            "address_2": "SUITE 2804",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592804",
            "telephone_number": "787-966-7200",
            "fax_number": "787-966-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL DENTAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "787-966-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.