Integra Total Manage Care Psc
Health Maintenance Organization in San Juan, Puerto Rico
1720364904- Practice location
- Ponce De Leon Avenue 402 Union Plaza Bld., Suite 802, San Juan, PR 00917
- Phone
- 787-758-3206
- Fax
- 787-772-4724
- Last updated
- February 2, 2012
Integra Total Manage Care Psc is a healthcare organization based in San Juan, PR. Integra Total Manage Care Psc practices in San Juan, PR. The NPI Number for Integra Total Manage Care Psc is 1720364904. The current practice location address for Integra Total Manage Care Psc is Ponce De Leon Avenue 402 Union Plaza Bld., Suite 802, San Juan, PR 00917 and can be reached out via phone at 787-758-3206 and via fax at 787-772-4724.
Provider Profile Details
- NPI Number
- 1720364904
- Provider Name
- Integra Total Manage Care Psc
- Provider Entity Type
- Organization
- Address
- Ponce De Leon Avenue 402 Union Plaza Bld., Suite 802, San Juan, PR 00917
- Phone Number
- 787-758-3206
- Fax Number
- 787-772-4724
- Primary Taxonomy
- Health Maintenance Organization · 302R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Victor Hernandez, MD LIC 11034 · President · 787-307-3399
- Provider Enumeration Date
- November 1, 2011
- Last Update Date
- February 2, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Ponce De Leon Avenue 402 Union Plaza Bld.
Suite 802
San Juan, PR 00917 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00917
- Phone Number
- 787-758-3206
- Fax Number
- 787-772-4724
Provider Business Mailing Address Details
- Address
- Po Box 367312
San Juan, PR 00936-7312 - City
- San Juan
- State
- PR
- Zip
- 00936-7312
- Phone Number
- 787-758-3206
- Fax Number
- 787-772-4724
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- Taxonomy (2)
- In Home Supportive Care · 253Z00000X
- Taxonomy (3)
- Preferred Provider Organization · 305R00000X
- Taxonomy (4)
- Clinical Medical Laboratory · 291U00000X
- Taxonomy (5)
- Health Maintenance Organization · 302R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Health Maintenance Organization providers near San Juan, PR
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Frequently Asked Questions
What is the NPI number of Integra Total Manage Care Psc?
The NPI number of Integra Total Manage Care Psc is 1720364904. It was assigned on November 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Integra Total Manage Care Psc?
Integra Total Manage Care Psc is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X).
Where does Integra Total Manage Care Psc practice?
The practice location is Ponce De Leon Avenue 402 Union Plaza Bld., Suite 802, San Juan, PR 00917. The office can be reached at 787-758-3206 (phone) or 787-772-4724 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720364904 directly on the NPPES registry website.