Metrohealth Extended Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7 Issued in PR

Legal business name

METROHEALTH EXTENDED CARE, INC

Practice address

PR 3 KM 32.0
Bo Mameyes Interior
Luquillo, PR 00773

Phone

(787) 889-4001

Fax

(787) 889-4575

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Miss Maria Diaz, MHSA

Title

Administrator

Phone

(787) 889-4001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982722807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191625",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191625",
            "telephone_number": "787-889-4001",
            "fax_number": "787-889-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 3 KM 32.0",
            "address_2": "BO MAMEYES INTERIOR",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-889-4001",
            "fax_number": "787-889-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROHEALTH EXTENDED CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-889-4001",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PR",
            "license": "7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadie Mar Marrero
• Natalia Marie Mas Kildare, PHARMD
• Raul Medina
• Meditech Clinical Laboratories Inc
• Jose Mendez Cirino Jr.
• Millenium Medical Supply & Equipment Corp
• Dennise T Monserrate, MD
• Darwin Morales, MSC/MFT, CPL, LSW
• Municipio de Luquillo
• Oficina Clinica Medica Y Alternativa Inc

• Skilled Nursing Facility in Luquillo, PR
• Providers in Luquillo, PR by specialty
• Skilled Nursing Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.