FBOP METROPOLITAN DETENTION CENTER (NPI# 1518504349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518504349 |
| Entity Type | Organization |
| Organization Name | FBOP METROPOLITAN DETENTION CENTER |
| Practice Address |
652 Carretera 28 Guaynabo PR 00965 |
| Practice Telephone | 7877494430 |
| Practice Fax Number | 7877757824 |
| Mailing Telephone | 7877494430 |
| Mailing Fax Number | 7877757824 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | IDARMIS PEREZ (CHIEF PHARMACIST) |
| Authorized Official Telephone | 7874757938 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities |
| Street Address |
652 CARRETERA 28 |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942419841 | Ada Iris Rivera | Internal Medicine | 652 Carretera 28, Metropolitan Detention Center, Guaynabo, PR 00962-5700 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620160 | Julio Antonio Calcano-perez | Physician Assistant | Carr #1 Km 23.7, Barrio Rio, Guaynabo, PR 00965 | 2020-05-11 |
| 1235763269 | Laboratorio Clinico Jomyr IIi, LLC | Clinical Medical Laboratory | 125 Ave. Ponce De Leon, Amelia Waterfront, Guaynabo, PR 00965 | 2020-02-28 |
| 1710434147 | Gamuzza Inc of Pr Corporation | Optometrist | 689 Norte Calle Terminal, Guaynabo, PR 00965 | 2016-09-01 |
| 1366783995 | Maria Conte | Legal Medicine | Condominio Portofino, Apartamento 3b, Guaynabo, PR 00965 | 2013-03-06 |
| 1851692073 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Avenida Fd Roosevelt, Guaynabo, PR 00965 | 2010-11-04 |
| 1669635041 | Wilbur Jose Santiago | Psychologist | Calle 6 A-12, Urb. Lomas Del Sol, Guaynabo, PR 00965 | 2008-07-07 |
| 1679770440 | Daniel Dionisio Diaz Jimenez | Dentist | Ave Ponce De Leon 123 Bo Amelia, Guaynabo, PR 00965 | 2007-06-27 |
| 1396948840 | Rafael F Cardona Duran | Neurological Surgery | Carr 199 Km 12 Ave Las Cumbres, Professional Hospital, Guaynabo, PR 00965 | 2007-06-11 |
| 1720205982 | Centro Quiropractico Guaynabo | Chiropractor | St. Rd 169 and Arbolote Ave. #1, Plaza Real Shopping Center Suite 307, Guaynabo, PR 00965 | 2007-04-19 |
| 1710008917 | Roberto Munoz Zayas Sr. | Obstetrics & Gynecology | Cond Bosques De La Villa Torrimar, Guaynabo, PR 00965 | 2007-04-03 |
| Find all providers in zip 00965 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245437946 | Correctional Health Services Corporation | Clinic/Center | 18 Calle 1, Suite 400 Metro Office Park, Guaynabo, PR 00968-1768 | 2007-06-27 |
Please comment or provide details below to improve the information on FBOP METROPOLITAN DETENTION CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.