Organization Active NPI

Metro Pavia at Home, LLC

Doing business as Metro Pavia @ Home- Mayaguez

  • Home Infusion Agency
  • Hormigueros, PR
National Provider Identifier
1508613589
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
METRO PAVIA AT HOME, LLC
Doing business as
Metro Pavia @ Home- Mayaguez
Practice address
Carr. 345 KM 2.1 Int. Carr PR 2 KM 2.0
Plaza Monserrate IV Bo. Lavaderos
Hormigueros, PR 00660
Phone
(787) 833-1985
NPI assigned
May 6, 2024
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Lisandra Velez Gonzalez
Title
Executive Director
Phone
(787) 705-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU Primary

Addresses

Primary practice location

Carr. 345 KM 2.1 Int. Carr PR 2 KM 2.0
Plaza Monserrate IV Bo. Lavaderos
Hormigueros, PR 00660

Mailing address

PO Box 11938
San Juan, PR 00922-1938
Phone (787) 235-6886

Other names 1

  • Metro Pavia @ Home- Mayaguez Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metro Pavia Home11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1508613589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11938",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221938",
            "telephone_number": "787-235-6886",
            "fax_number": "787-705-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 345 KM 2.1 INT. CARR PR 2 KM 2.0",
            "address_2": "PLAZA MONSERRATE IV BO. LAVADEROS",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-833-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "VELEZ GONZALEZ",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-705-6982"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Pavia @ Home- Mayaguez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hormigueros, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.