# INTEGRATE COMMUNITY HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1992927289
- **Authorized official:** VIVIAN SOLIVAN (DIRECTOR)
- **Authorized official phone:** (787) 641-4234

## Contact information

- **Practice address:** CARR 3 KM 13.4 BO CANOVANILLAS, FIRST FLOOR FIRST MEDICAL BUILDING, CAROLINA, PR 00985
- **Practice address phone:** (787) 993-4990
- **Practice address fax:** (787) 993-4993
- **Mailing address:** 400 CALLE CALAF PMB 455, SAN JUAN, PR 00918-1314
- **Mailing address phone:** (787) 234-8865
- **Mailing address fax:** (787) 274-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 01/07/2025