# PR INTEGRATED CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003225103
- **Authorized official:** DR. OTEGBOLA OJO M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (787) 710-2532

## Contact information

- **Practice address:** 599 AVE COMERIO, BO SABANA SECA, TOA BAJA, PR 00949-2821
- **Practice address phone:** (787) 710-2532
- **Practice address fax:** (939) 202-7294
- **Mailing address:** PO BOX 51502, TOA BAJA, PR 00950-1502
- **Mailing address phone:** (787) 710-2532
- **Mailing address fax:** (939) 202-7294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 08/04/2014
- **Last updated:** 08/04/2014