# INTEGRA TOTAL MANAGED CARE INC

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

## Provider details

- **NPI number:** 1437234309
- **Authorized official:** DR. JOSE MIGUEL FRANQUIZ MATOS M.D. (DIRECTOR MEDICO)
- **Authorized official phone:** (787) 649-7045

## Contact information

- **Practice address:** 1254 AVE. PONCE DE LEON, SUTIE 600, SAN JUAN, PR 00907
- **Practice address phone:** (787) 649-7045
- **Practice address fax:** (787) 743-4260
- **Mailing address:** 1254 AVE. PONCE DE LEON, SUTIE 600, SAN JUAN, PR 00907
- **Mailing address phone:** (787) 649-7045
- **Mailing address fax:** (787) 743-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 163720 | PR | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 05/28/2009