Organization
METRO PAVIA AT HOME, LLC
Active
Other names
Metro Pavia at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISANDRA VELEZ GONZALEZ (EXECUTIVE DIRECTOR)
(787) 705-6982
Entity
Organization
Contact information
Practice address
METROPOLITAN OFFICE BUILDING, 153 AVE JOSE DE DIEGO SUITE 205, ARECIBO, PR 00612
(787) 817-0498
(787) 705-6794
Mailing address
P.O., BOX 11938, SAN JUAN, PR 00922-1938
(787) 705-6982
(787) 705-6794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037568700
—
PR
Enumeration date
06/17/2014
Last updated
04/30/2024
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