NPIMap

Organization Active NPI

Integrate Community Health System

Doing business as Metro Pavia Clinic Luquillo

  • Radiology Clinic/Center
  • Luquillo, PR
National Provider Identifier
1922479104
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INTEGRATE COMMUNITY HEALTH SYSTEM
Doing business as
Metro Pavia Clinic Luquillo
Practice address
Carr 3 KM 32.0 Interior
Bo Mameyes
Luquillo, PR 00773
Phone
(787) 772-9850
Fax
(787) 274-8895
NPI assigned
Oct 13, 2015
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Mrs. V Solivan
Title
President
Phone
(787) 234-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

Carr 3 KM 32.0 Interior
Bo Mameyes
Luquillo, PR 00773

Mailing address

400 Calle Calaf
PMB 455
San Juan, PR 00918
Phone (787) 772-9850

Other names 1

  • Metro Pavia Clinic Luquillo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrate Community Health System34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1922479104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE CALAF",
            "address_2": "PMB 455",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-772-9850",
            "fax_number": "787-274-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 32.0 INTERIOR",
            "address_2": "BO MAMEYES",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-772-9850",
            "fax_number": "787-274-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE COMMUNITY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SOLIVAN",
        "authorized_official_first_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-234-8865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Pavia Clinic Luquillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luquillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.