Organization Name: | INTEGRATE COMMUNITY HEALTH SYSTEM, INC. |
NPI Number: | 1750606547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIVIAN SOLIVAN (DIRECTOR) |
Mailing Address: | Carr. 3 Km 32.0 Interior Bo. Mameyes Luquillo |
State: | PR US |
Postal Code: | 00773 |
Phone Number: | 7877729850 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |