Organization
INTEGRATE COMMUNITY HEALTH SYSTEM
Active
Other names
Metro Pavia Clinic Bayamon
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN SOLIVAN (DIRECTOR)
(787) 641-4234
Entity
Organization
Contact information
Practice address
URB. SANTA CRUZ CALLE GARCIA 849, BAYAMON, PR 00956
(787) 772-9850
(787) 641-4240
Mailing address
400 CALLE CALAF STREET PMB 455, SAN JUAN, PR 00918-1314
(787) 772-9850
(787) 641-4240
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025
LIC. LABORATORIO CLINICO
PR
01
—
77
LICENCIA OPERAR CDT
PR
Enumeration date
05/03/2007
Last updated
06/17/2016
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