Integrate Community Health System
Organization Active NPI Internal Medicine Physician · Carolina, PR
NPI 1992927289 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1992927289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- INTEGRATE COMMUNITY HEALTH SYSTEM
- Practice address
- Carr 3 KM 13.4 Bo Canovanillas
First Floor First Medical Building
Carolina, PR 00985 - Phone
- (787) 993-4990
- Fax
- (787) 993-4993
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Vivian Solivan
- Title
- Director
- Phone
- (787) 641-4234
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 33
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000113 | PR | Part B Supplier - Clinic/Group Practice | 6507760469 |
Receives reassigned benefits from 52 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Caguas, PR; San Juan, PR; Luquillo, PR; Humacao, PR; Guayama, PR; Fajardo, PR; Carolina, PR; Bayamon, PR… |
National Provider Directory
- Tax ID family
- Integrate Community Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Chiropractor |
111N00000X | |||
| Health Educator |
174H00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Rheumatology Physician |
207RR0500X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Surgery Physician |
208600000X | |||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
Carr 3 KM 13.4 Bo Canovanillas
First Floor First Medical Building
Carolina, PR 00985
Mailing address
400 Calle Calaf PMB 455
San Juan, PR 00918-1314
Phone (787) 234-8865
Other names
- Metro Pavia Clinic Carolina
Other providers in Carolina, PR
- Instituto de Ojos Y Piel, Inc
- Instituto de Servicios Educativos de Puerto Rico
- Instituto Medicina Integral
- Instituto Neuropsicoterapeutico Dr del Valle Ortiz Inc
- Integra Quiropractica LLC
- Integrated Medical Services Inc
- Interamerican Oxygen Corporation
- Intergyn PSC
- Internal Medicine Care Services LLC
- Intituto Puertorriqueno Med Integral
All providers in Carolina, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.