NPIMap

Organization Active NPI

Metro Pavia Healthcare Centers Inc

  • Radiology Clinic/Center
  • Arecibo, PR
National Provider Identifier
1760723696
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
41 Issued in PR
Legal business name
METRO PAVIA HEALTHCARE CENTERS INC
Practice address
Carr 129 Interior
Zona Industrial Victor Rojas II
Arecibo, PR 00613
Phone
(787) 650-0020
Fax
(787) 650-0099
NPI assigned
Mar 1, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
METRO PAVIA HEALTHCARE CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Mrs. Adalis Morales
Title
Billing Supervisor
Phone
(787) 650-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 41 PR Primary

Addresses

Primary practice location

Carr 129 Interior
Zona Industrial Victor Rojas II
Arecibo, PR 00613

Mailing address

PO Box 9976
Cotto Station
Arecibo, PR 00613-9976
Phone (787) 650-0090

Other identifiers 1

IdentifierTypeStateIssuer
41OtherPRSTATE LICENSE

Other names 1

  • Radiologia MetroPavia Clinic Arecibo Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630000203 PR Part B Supplier - Clinic/Group Practice 8022232271 Receives reassigned benefits from 51 practitioners
9 other NPIs on this enrollment
Practice locations: Ponce, PR; Carolina, PR; Bayamon, PR; Arecibo, PR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

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

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1760723696",
    "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": "787-650-0090",
            "fax_number": "787-650-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 INTERIOR",
            "address_2": "ZONA INDUSTRIAL VICTOR ROJAS II",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-0020",
            "fax_number": "787-650-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA HEALTHCARE CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO PAVIA HEALTHCARE CENTERS INC",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ADALIS",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "787-650-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "41",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiologia MetroPavia Clinic Arecibo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 11, 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.