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Organization

METRO PAVIA HEALTHCARE CENTERS INC

Active
Parent organization
METRO PAVIA HEALTHCARE CENTERS INC
Other names
Laboratorio Clinico MetroPavia Clinic Arecibo
Organization subpart
Yes

Provider details

NPI number
Legal business name
METRO PAVIA HEALTHCARE CENTERS INC
Authorized official
MRS. MARIA L LOPEZ (HOSP ADMINISTRATOR)
(787) 650-0090
Entity
Organization

Contact information

Practice address
CARR 129, ZONA INDUSTRIAL VICTOR ROJAS II, ARECIBO, PR 00612
(787) 650-0020
(787) 650-0098
Mailing address
PO BOX 9976, COTTO STATION, ARECIBO, PR 00613-9976
(787) 650-0020
(787) 650-0922

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1039
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1039
STATE LICENSE
PR
01
40D0992949
CLIA
PR
Enumeration date
10/18/2011
Last updated
01/30/2013
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