Provider Demographics
NPI:1952929994
Name:METRO SANTURCE, INC.
Entity Type:Organization
Organization Name:METRO SANTURCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARCOS
Authorized Official - Middle Name:D
Authorized Official - Last Name:AGUILA SASTRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-641-1616
Mailing Address - Street 1:PO BOX 11137
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910
Mailing Address - Country:US
Mailing Address - Phone:787-641-1616
Mailing Address - Fax:787-268-1182
Practice Address - Street 1:1462 CALLE PROFESOR AUGUSTO RODRIGUEZ
Practice Address - Street 2:PARADA 22
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910
Practice Address - Country:US
Practice Address - Phone:787-641-1616
Practice Address - Fax:787-268-1162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METRO SANTURCE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty