# INTEGRATIVE HEALTH CENTER

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

## Provider details

- **NPI number:** 1871615682
- **Authorized official:** ISABEL ALTAGRACIA FERREIRA MD (PEDIATRICIAN MEDICAL DIRECTOR)
- **Authorized official phone:** (305) 559-7063

## Contact information

- **Practice address:** 13155 SW 42ND STREET, SUIT 111 112, MIAMI, FL 33175-3428
- **Practice address phone:** (305) 559-7063
- **Practice address fax:** (305) 559-7839
- **Mailing address:** 13155 SW 42ND STREET, SUIT 111 112, MIAMI, FL 33175-3428
- **Mailing address phone:** (305) 559-7063
- **Mailing address fax:** (305) 559-7839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME57254 | FL | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 02/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009723000 | — | FL |
| 05 | — | 051410100 | — | FL |