| Organization Name: | INTEGRAGE COMMUNITY HEALTH SYSTEM |
| NPI Number: | 1003227125 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIVIAN SOLIVAN (PRESIDENT) |
| Mailing Address: | 4 Calle Garcia Urb Santa Cruz Bayamon |
| State: | PR US |
| Postal Code: | 00956 |
| Phone Number: | 7877729850 |
| Fax Number: | 7876414240 |
| NPI Enumeration Date: | 05/12/2014 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |