PR Integrated Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PR INTEGRATED CARE

Practice address

599 Ave Comerio
Bo Sabana Seca
Toa Baja, PR 00949-2821

Phone

(787) 710-2532

Fax

(939) 202-7294

NPI assigned

Aug 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Otegbola Ojo, M.D.

Title

President/Ceo

Phone

(787) 710-2532

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1003225103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51502",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501502",
            "telephone_number": "787-710-2532",
            "fax_number": "939-202-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 AVE COMERIO",
            "address_2": "BO SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492821",
            "telephone_number": "787-710-2532",
            "fax_number": "939-202-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "OTEGBOLA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "787-710-2532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.