# INTEGRATE COMMUNITY HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1467674713
- **Authorized official:** VIVIAN SOLIVAN (DIRECTOR)
- **Authorized official phone:** (787) 641-4234

## Contact information

- **Practice address:** CARR 924 JARDINES DE HUMACAO, PLAZA 2000, HUMACAO, PR 00791
- **Practice address phone:** (787) 772-9850
- **Practice address fax:** (787) 274-8895
- **Mailing address:** 400 CALLE CALAF PMB 455, SAN JUAN, PR 00918
- **Mailing address phone:** (787) 772-9850
- **Mailing address fax:** (787) 274-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 06/09/2016