Integra Physicians, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INTEGRA PHYSICIANS, INC

Practice address

6495 Taft St
Hollywood, FL 33024-4110

Phone

(786) 488-3410

NPI assigned

Apr 9, 2014

Last updated

Apr 9, 2014By 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

Felix Daniel Alicea-Gonzalez

Title

MGRM

Phone

(786) 488-3410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1467871236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244110",
            "telephone_number": "786-488-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244110",
            "telephone_number": "786-488-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "ALICEA-GONZALEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "786-488-3410"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.