Integrate Community Health System
Organization Active NPI Emergency Care Clinic/Center · Hato Rey, PR
NPI 1154537546 · NPPES record last updated Jun 16, 2016
Key facts
- NPI
- 1154537546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- INTEGRATE COMMUNITY HEALTH SYSTEM
- Practice address
- Urb El Vedado #426
Hato Rey, PR 00918 - Phone
- (787) 772-9850
- Fax
- (787) 274-8895
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Vivian Solivan
- Title
- Director
- Phone
- (787) 641-4234
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 33
Practitioners 13
-
Cesar A. Almonte, M.D.
-
Carlos Maisonet, M.D.
-
Maria Martin, M.D.
-
Luis A Paris Rivera, M.D
-
William A Soler, M.D.
-
Edwin Soto, M.D
-
Neysa Mercado Morales, M. D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000113 | PR | Part B Supplier - Clinic/Group Practice | 6507760469 |
Receives reassigned benefits from 52 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Caguas, PR; San Juan, PR; Luquillo, PR; Humacao, PR; Guayama, PR; Fajardo, PR; Carolina, PR; Bayamon, PR… |
National Provider Directory
- Tax ID family
- Integrate Community Health System
Locations
426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Yes |
Addresses
Primary practice location
Urb El Vedado #426
Hato Rey, PR 00918
Mailing address
400 Calle Calaf Street PMB 455
San Juan, PR 00918-1314
Phone (787) 772-9850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002 | Other | PR | LIC. LABORATORIO CLINICO |
| 131 | Other | PR | LICENCIA OPERAR CDT |
Other names
- Metro Pavia Clinic Hato Rey
Other providers in Hato Rey, PR
- Iniciativa Comunitaria de Investigacion, Inc
- Iniciativa Comunitaria, Inc
- Inspira Behavioral Care Corp.
- Inspira Behavioral Care Corp.
- Instituto Sonoradiologico Hostos
- Sonia M Irizarry
- Miguel Manuel Iturregui
- Joanne Marin Favale PSC
- Jose Perez Fonseca Inc.
- KM Dental, C.S.P.
All providers in Hato Rey, PR · Emergency Care Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.