Organization
METRO PAVIA HEALTHCARE CENTER
Active
Parent organization
SOUTHWEST HEALTH CORP
Other names
Metro Pavia Clinic Arecibo - Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST HEALTH CORP
Authorized official
VIVIAN SOLIVAN (PRESIDENT)
(787) 650-7294
Entity
Organization
Contact information
Practice address
CARR 129 VICTOR ROJAS 2, ZONA INDUSTRIAL, ARECIBO, PR 00613
(787) 650-0020
(787) 274-8895
Mailing address
PO BOX 9976, COTTO STATION, ARECIBO, PR 00613-9976
(787) 650-0020
(787) 274-8895
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2655
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043141
PROVIDER BLUE CROSS
PR
Enumeration date
04/12/2007
Last updated
05/26/2016
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