Provider Demographics
NPI:1447420419
Name:METRO MEDICAL DENTAL ASSOCIATES INC.
Entity Type:Organization
Organization Name:METRO MEDICAL DENTAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ARTURO
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:787-966-7200
Mailing Address - Street 1:1995 CARRETERA # 2
Mailing Address - Street 2:SUITE 2804
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-2804
Mailing Address - Country:US
Mailing Address - Phone:787-966-7200
Mailing Address - Fax:787-966-7161
Practice Address - Street 1:1995 CARR # 2
Practice Address - Street 2:SUITE 2804
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-2804
Practice Address - Country:US
Practice Address - Phone:787-966-7200
Practice Address - Fax:787-966-7161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty