# METRO OB GYN PSC

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

## Provider details

- **NPI number:** 1366804734
- **Authorized official:** EDNISE M ROMAN RUPERTO (MD)
- **Authorized official phone:** (787) 981-4406

## Contact information

- **Practice address:** 303 AVE DOMENECH, URB LOS INGENIEROS, SAN JUAN, PR 00918
- **Practice address phone:** (787) 981-4406
- **Practice address fax:** (787) 946-7326
- **Mailing address:** HC 03 BOX 5086, GURABO, PR 00778
- **Mailing address phone:** (787) 981-4406
- **Mailing address fax:** (787) 946-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016