Integravida, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INTEGRAVIDA, LLC

Doing business as

IntegraVida, LLC

Practice address

4 Calle Baldorioty
Manati, PR 00674-5035

Phone

(787) 354-7466

NPI assigned

Feb 5, 2025

Last updated

May 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isis Serrano Otero, PHD

Title

Clinical Psychology

Phone

(787) 354-7466

Specialties & licenses 1

Addresses

Other names 1

• IntegraVida, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isis D Serrano Otero, PH.D.

  • Clinical Psychologist
  • Arecibo, PR
  • NPI 1487018107
  Medicare reassignment NPD

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1326852880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION FUENTEBELLA",
            "address_2": "1670 CALLE TORINO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-354-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE BALDORIOTY",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745035",
            "telephone_number": "787-354-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAVIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ISIS",
        "authorized_official_middle_name": "SERRANO",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGY",
        "authorized_official_telephone_number": "787-354-7466",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegraVida, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Instituto Cardiovascular Alex Branmar, P.S.C.
• Instituto de Hematologia Y Oncologia Medico del Norte P.S.C.
• Instituto de Medicina de Familia de Manati CSP
• Instituto de Medicina Integrativa Y Psicoespiritual
• Integral Therapy Center-Manati, LLC.
• Internal Medicine Integrated Services PSC (Imis)
• Nelly Ivette Irizarry Talavera
• Lizzette Maria Irizarry, O.D.
• Island Management Services, Corporation (Hospicio Divinas Manos)
• J J E, Inc. (Hospicio Toque de Amor)

• Clinical Psychologist in Manati, PR
• Providers in Manati, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.