Provider Demographics
NPI:1871815639
Name:DMR METROPOLITAN LIVE GROUP
Entity Type:Organization
Organization Name:DMR METROPOLITAN LIVE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVARRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-632-5151
Mailing Address - Street 1:ASHFORD AVENUE 1357
Mailing Address - Street 2:SUITE 281
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1400
Mailing Address - Country:US
Mailing Address - Phone:787-632-5151
Mailing Address - Fax:
Practice Address - Street 1:1357 ASHFORD
Practice Address - Street 2:SUITE 281
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1400
Practice Address - Country:US
Practice Address - Phone:787-632-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty