Provider Demographics
NPI:1730891516
Name:METROHEALTH INC HOSPITAL METROPOLITANO
Entity type:Organization
Organization Name:METROHEALTH INC HOSPITAL METROPOLITANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TALAVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-782-9999
Mailing Address - Street 1:PO BOX 11981
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1981
Mailing Address - Country:US
Mailing Address - Phone:787-782-9999
Mailing Address - Fax:787-781-6066
Practice Address - Street 1:1785 CARR 21 LAS LOMAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3399
Practice Address - Country:US
Practice Address - Phone:787-782-9999
Practice Address - Fax:787-781-6066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROHEALTH INC HOSPITAL METROPOLITANO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty