Integra Total Managed Care Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

163720 Issued in PR

Legal business name

INTEGRA TOTAL MANAGED CARE INC

Practice address

1254 Ave. Ponce de Leon
Sutie 600
San Juan, PR 00907

Phone

(787) 649-7045

Fax

(787) 743-4260

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Miguel Franquiz Matos, M.D.

Title

Director Medico

Phone

(787) 649-7045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1437234309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 AVE. PONCE DE LEON",
            "address_2": "SUTIE 600",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-649-7045",
            "fax_number": "787-743-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 AVE. PONCE DE LEON",
            "address_2": "SUTIE 600",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-649-7045",
            "fax_number": "787-743-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA TOTAL MANAGED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "JOSE  MIGUEL",
        "authorized_official_middle_name": "FRANQUIZ",
        "authorized_official_title_or_position": "DIRECTOR MEDICO",
        "authorized_official_telephone_number": "787-649-7045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "163720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto Psicoterapeutico de PR
• Instituto Psicoterapeutico de PR
• Instituto Renal de San Juan, LLC
• Instituto Sonoradiologico Hostos, Inc
• Integra Total Manage Care PSC
• Integrate Community Health System
• Integrate Community Health System
• Integrate Community Health System
• Integrate Community Health System
• Integrate Community Health System, Inc.

• Health Maintenance Organization in San Juan, PR
• Providers in San Juan, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.