Integra Total Manage Care PSC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

INTEGRA TOTAL MANAGE CARE PSC

Practice address

Ponce de Leon Avenue 402 Union Plaza BLD.
Suite 802
San Juan, PR 00917

Phone

(787) 758-3206

Fax

(787) 772-4724

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Victor Hernandez, M.D. LIC. 11034

Title

President

Phone

(787) 307-3399

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1720364904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367312",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367312",
            "telephone_number": "787-758-3206",
            "fax_number": "787-772-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE DE LEON AVENUE 402 UNION PLAZA BLD.",
            "address_2": "SUITE 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-758-3206",
            "fax_number": "787-772-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA TOTAL MANAGE CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-307-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. LIC. 11034"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto Para El Desarrollo Personal, Inc.
• Instituto Psicoterapeutico de PR
• Instituto Psicoterapeutico de PR
• Instituto Renal de San Juan, LLC
• Instituto Sonoradiologico Hostos, Inc
• Integra Total Managed Care Inc
• Integrate Community Health System
• Integrate Community Health System
• Integrate Community Health System
• Integrate Community Health System

• 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 Feb 2, 2012; 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.