# METRO PAVIA AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Pavia @ Home -San Juan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972917946
- **Authorized official:** MRS. LISANDRA VELEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 705-6982

## Contact information

- **Practice address:** 60 CALLE BOLIVIA, 3RD FLOOR, SAN JUAN, PR 00917-1104
- **Practice address phone:** (787) 705-6982
- **Practice address fax:** (787) 705-6794
- **Mailing address:** PO BOX 11938, SAN JUAN, PR 00922-1938
- **Mailing address phone:** (787) 705-6982
- **Mailing address fax:** (787) 705-6794

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 04/29/2024
