NPIMap

Organization Active NPI

Metro Pavia Healthcare Center

Doing business as Metro Pavia Clinic Arecibo - Dental

  • Dental Clinic/Center
  • Arecibo, PR
National Provider Identifier
1659595676
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2655 Issued in PR
Legal business name
METRO PAVIA HEALTHCARE CENTER
Doing business as
Metro Pavia Clinic Arecibo - Dental
Practice address
Carr 129 Victor Rojas 2
Zona Industrial
Arecibo, PR 00613
Phone
(787) 650-0020
Fax
(787) 274-8895
NPI assigned
Apr 12, 2007
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST HEALTH CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Vivian Solivan
Title
President
Phone
(787) 650-7294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2655 PR Primary

Addresses

Primary practice location

Carr 129 Victor Rojas 2
Zona Industrial
Arecibo, PR 00613

Mailing address

PO Box 9976
Cotto Station
Arecibo, PR 00613-9976
Phone (787) 650-0020

Other identifiers 1

IdentifierTypeStateIssuer
043141OtherPRPROVIDER BLUE CROSS

Other names 1

  • Metro Pavia Clinic Arecibo - Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metro Pavia Healthcare Centers Inc22 organizations share this tax ID, including this one
Part of
Metropolitano Ponce

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1659595676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9976",
            "address_2": "COTTO STATION",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139976",
            "telephone_number": "787-650-0020",
            "fax_number": "787-274-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 VICTOR ROJAS 2",
            "address_2": "ZONA INDUSTRIAL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-0020",
            "fax_number": "787-274-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST HEALTH CORP",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "SOLIVAN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-650-7294"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BLUE CROSS",
            "identifier": "043141",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Pavia Clinic Arecibo - Dental",
            "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 May 26, 2016; 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.