Provider Demographics
NPI:1184337354
Name:METRO TOA BAJA INC.
Entity type:Organization
Organization Name:METRO TOA BAJA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP SENIOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-230-7530
Mailing Address - Street 1:PO BOX 195248
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-5248
Mailing Address - Country:US
Mailing Address - Phone:787-784-1782
Mailing Address - Fax:
Practice Address - Street 1:AVE. SABANA SECA CARR. 867 KM 2.2
Practice Address - Street 2:BO SABANA SECA
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00951
Practice Address - Country:US
Practice Address - Phone:787-784-1782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METRO TOA BAJA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory