# METRO PAVIA AT HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013321900
- **Authorized official:** MRS. LISANDRA VELEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 705-6982

## Contact information

- **Practice address:** PLAZA LAS PIEDRAS, CARR PR 183 KM 20.60 INTERSECCION PR 917 BARRIO MONTONE, LAS PIEDRAS, PR 00771-3206
- **Practice address phone:** (787) 852-3785
- **Practice address fax:** (787) 705-6794
- **Mailing address:** P.O., BOX 11938, SAN JUAN, PR 00922-1938
- **Mailing address phone:** (787) 705-6982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 04/30/2024