Provider Demographics
NPI:1861159147
Name:METROPOLITAN CONSULTING CORPORATION, INC
Entity type:Organization
Organization Name:METROPOLITAN CONSULTING CORPORATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURO
Authorized Official - Middle Name:
Authorized Official - Last Name:AMEZCUA-PATINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-339-3779
Mailing Address - Street 1:4055 W CHANDLER BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3700
Mailing Address - Country:US
Mailing Address - Phone:480-590-0092
Mailing Address - Fax:480-393-7175
Practice Address - Street 1:4055 W CHANDLER BLVD STE 5
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3700
Practice Address - Country:US
Practice Address - Phone:480-590-0092
Practice Address - Fax:480-393-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ17900OtherAZ MEDICAL LICENSE
AZ290958Medicaid