Provider Demographics
NPI:1811032717
Name:CENTRO DE CUIDADOS DIRIGIDOS DE LEVITTOWN INC
Entity Type:Organization
Organization Name:CENTRO DE CUIDADOS DIRIGIDOS DE LEVITTOWN INC
Other - Org Name:METRO SALUD GRUPO PROFESIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOYKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-795-4810
Mailing Address - Street 1:PO BOX 51513
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1513
Mailing Address - Country:US
Mailing Address - Phone:787-795-4810
Mailing Address - Fax:787-784-0680
Practice Address - Street 1:HF16 CALLE LIZZIE GRAHAM
Practice Address - Street 2:LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3634
Practice Address - Country:US
Practice Address - Phone:787-795-4810
Practice Address - Fax:787-784-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization