Integrate Community Health System
Organization Active NPI Emergency Care Clinic/Center · Aguadilla, PR
NPI 1255855201 · NPPES record last updated Aug 1, 2017
Key facts
- NPI
- 1255855201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- License
- 146 (PR)
- Legal business name
- INTEGRATE COMMUNITY HEALTH SYSTEM
- Practice address
- Barrio Camaseyes
Carr # 107
Aguadilla, PR 00603 - Phone
- (787) 296-9778
- NPI assigned
- Aug 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Maria Lopez
- Title
- VP Operacional Senior
- Phone
- (787) 230-7530
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 33
Practitioners 4
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | 146 | PR | Yes |
Addresses
Primary practice location
Barrio Camaseyes
Carr # 107
Aguadilla, PR 00603
Mailing address
400 Calle Calaf
PMB 455
San Juan, PR 00918
Phone (787) 230-7530
Other names
- Metro Pavia Clinic Aguadilla - Emergency Room
Other providers in Aguadilla, PR
- Sebastian Infanzon Santos
- Insight Management Group Inc
- Insight Reading Group-Aguadilla
- Instituto Ginecologico del Oeste CRL
- Integramed LLC
- Integrate Community Health System
- Integrate Community Health System
- Integrate Community Health System, Inc.
- Laura E Irizarry Diez
- Javier Irizarry Moyet
All providers in Aguadilla, 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 Aug 1, 2017. 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.