NPIMap

Organization Active NPI

Metro Pavia Healthcare Centers Inc

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1689011124
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1214 Issued in PR
Legal business name
METRO PAVIA HEALTHCARE CENTERS INC
Practice address
Calle Marina 38
Ponce, PR 00717-0000
Phone
(787) 651-2855
Fax
(787) 651-2866
NPI assigned
May 23, 2013
Organization subpart
Yes
Parent organization
METRO PAVIA HEALTHCARE CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Mrs. Maria Lopez
Title
Hosp Administrator
Phone
(787) 651-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1214 PR Primary

Addresses

Primary practice location

Calle Marina 38
Ponce, PR 00717-0000

Mailing address

PO Box 9976
Cotto Station
Arecibo, PR 00613-9976
Phone (787) 651-2855

Other identifiers 1

IdentifierTypeStateIssuer
48OtherPRSTATE LICENSE

Other names 1

  • Laboratorio MetroPavia Clinic Ponce Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160601000296 PR Part B Supplier - Independent Clinical Laboratory 8022232271 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arecibo, PR; Bayamon, PR; Carolina, PR; Ponce, PR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Metro Pavia Healthcare Center22 organizations share this tax ID, including this one
Part of
Metro Pavia Healthcare Center

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": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1689011124",
    "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": "787-651-2855",
            "fax_number": "787-651-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARINA 38",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170000",
            "telephone_number": "787-651-2855",
            "fax_number": "787-651-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA HEALTHCARE CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO PAVIA HEALTHCARE CENTERS INC",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "HOSP ADMINISTRATOR",
        "authorized_official_telephone_number": "787-651-2855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "48",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio MetroPavia Clinic Ponce",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.