Organization
METRO PAVIA HEALTHCARE CENTER
Active
Other names
METRO PAVIA CLINIC HATILLO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LOPEZ (VP OPERACIONAL SENIOR)
(787) 230-7530
Entity
Organization
Contact information
Practice address
ZONA INDUSTRIAL VICTOR ROJAS II, ARECIBO, PR 00613
(787) 230-7530
Mailing address
400 CALLE CALAF, PMB 455, SAN JUAN, PR 00918
(787) 230-7530
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PR
261QC1500X
Community Health Clinic/Center
68637
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68637
LICENCIA OPERACIONAL - SANITARIA
PR
Enumeration date
12/20/2016
Last updated
10/04/2018
Update your record
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