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Organization
INTEGRATE COMMUNITY HEALTH SYSTEM
Active
Organization
INTEGRATE COMMUNITY HEALTH SYSTEM
Active
Other names
Metro Pavia Clinic Fajardo
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOPEZ (VP SENIOR)
(787) 230-7530
Entity
Organization
Contact information
Practice address
CARR # 3, KM 43.8, BO. QUEBRADA FAJARDO, FAJARDO, PR 00738
(787) 710-9867
Mailing address
400 CALLE CALAF PMB 455, SAN JAUN, PR 00918-1314
(787) 370-6648
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/06/2020
Last updated
01/07/2025
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