Provider Demographics
NPI:1548525298
Name:METROPOLITAN DIPHOM SERVICES
Entity type:Organization
Organization Name:METROPOLITAN DIPHOM SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:EVALIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:TEMP
Authorized Official - Phone:787-544-6804
Mailing Address - Street 1:PO BOX 9081
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9081
Mailing Address - Country:US
Mailing Address - Phone:787-544-6804
Mailing Address - Fax:787-898-6200
Practice Address - Street 1:HIGHWAY 129, RD. 492 INTERSECTION
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-544-6804
Practice Address - Fax:787-898-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
PR333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
No3416L0300XTransportation ServicesAmbulanceLand Transport