NPIMap

Organization Active NPI

Metro Pavia Healthcare Center

Doing business as Metro Pavia Clinic Bella Vista

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1841694072
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
METRO PAVIA HEALTHCARE CENTER
Doing business as
Metro Pavia Clinic Bella Vista
Practice address
Carr 167 Urb Bella Vista
Marginal Ad-10
Bayamon, PR 00959
Phone
(787) 230-7530
NPI assigned
Oct 17, 2014
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Mrs. Maria Lopez
Title
VP Operacional Senior
Phone
(787) 230-7530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1334 PR
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

Carr 167 Urb Bella Vista
Marginal Ad-10
Bayamon, PR 00959

Mailing address

400 Calle Calaf
PMG 455
San Juan, PR 00918
Phone (787) 230-7530

Other names 1

  • Metro Pavia Clinic Bella Vista Doing business as

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

Other organizations with this tax ID 21

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

View all 21

Locations

D10 Calle 2
Bayamon, PR 00957

D10 Calle 2
#A
Bayamon, PR 00957

400 Calle Calaf
#455
San Juan, PR 00918

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1841694072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE CALAF",
            "address_2": "PMG 455",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-230-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 URB BELLA VISTA",
            "address_2": "MARGINAL AD-10",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-230-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VP OPERACIONAL SENIOR",
        "authorized_official_telephone_number": "787-230-7530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1334",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Pavia Clinic Bella Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 2, 2018; 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.