# INTEGRATE COMMUNITY HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Pavia Clinic Fajardo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235756339
- **Authorized official:** MARIA LOPEZ (VP SENIOR)
- **Authorized official phone:** (787) 230-7530

## Contact information

- **Practice address:** CARR \# 3, KM 43.8, BO. QUEBRADA FAJARDO, FAJARDO, PR 00738
- **Practice address phone:** (787) 710-9867
- **Mailing address:** 400 CALLE CALAF PMB 455, SAN JAUN, PR 00918-1314
- **Mailing address phone:** (787) 370-6648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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