Organization
METRO PAVIA HEALTHCARE CENTERS INC
Active
Organization
METRO PAVIA HEALTHCARE CENTERS INC
Active
Parent organization
METRO PAVIA HEALTHCARE CENTERS INC
Other names
Laboratorio Clinico MetroPavia Clinic Ponce
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO PAVIA HEALTHCARE CENTERS INC
Authorized official
MRS. MARIA L LOPEZ (HOSP ADMINISTRATOR)
(787) 651-2855
Entity
Organization
Contact information
Practice address
CALLE MARINA NUM 38, PONCE, PR 00717-0000
(787) 651-2855
(787) 651-2866
Mailing address
PO BOX 9976, COTTO STATION, ARECIBO, PR 00613-9976
(787) 651-2855
(787) 651-2866
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1214
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D2001687
CLIA ID
PR
Enumeration date
09/05/2012
Last updated
01/30/2013
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