Provider Demographics
NPI:1679202576
Name:METRO PEDIATRICS LLC
Entity Type:Organization
Organization Name:METRO PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JINETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANTOS RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-782-9999
Mailing Address - Street 1:1325 AVE SAN IGNACIO APT 3L
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3804
Mailing Address - Country:US
Mailing Address - Phone:787-436-8576
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL METROPOLITANO
Practice Address - Street 2:1785 AVE LAS LOMAS SUITE 206
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922
Practice Address - Country:US
Practice Address - Phone:787-782-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21491OtherMEDICAL LISCENCE