Organization
INTEGRATE COMMUNITY HEALTH SYSTEM, INC.
Active
Other names
Metropolitan Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO ORENGO (EXECUTIVE DIRECTOR)
(787) 641-4234
Entity
Organization
Contact information
Practice address
DR. ISAAC GONZALEZ STREET, URB. PEREZ MATOS, EN HOSPITAL METROPOLITANO DE LA MONTANA, UTUADO, PR 00641
(787) 933-0150
(787) 933-0154
Mailing address
400 CALAF STREET PMB 455, SAN JUAN, PR 00918-1314
(787) 772-9850
(787) 274-8895
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20736
MEDICARE
PR
Enumeration date
12/19/2007
Last updated
12/19/2007
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