Provider Demographics
NPI:1376643163
Name:METRO MEDICAL SERVICE CARE CORP
Entity Type:Organization
Organization Name:METRO MEDICAL SERVICE CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR / PRINCIPAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO-BETANCES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-447-7927
Mailing Address - Street 1:253 STREET HW 36
Mailing Address - Street 2:
Mailing Address - City:URB. COUNTRY CLUB,CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982
Mailing Address - Country:US
Mailing Address - Phone:787-447-7927
Mailing Address - Fax:787-257-1577
Practice Address - Street 1:HW 36 STREET 253
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB,CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-447-7927
Practice Address - Fax:787-257-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16020261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI52572Medicare UPIN