Organization
INTEGRA TOTAL MANAGED CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MIGUEL FRANQUIZ MATOS M.D. (DIRECTOR MEDICO)
(787) 649-7045
Entity
Organization
Contact information
Practice address
1254 AVE. PONCE DE LEON, SUTIE 600, SAN JUAN, PR 00907
(787) 649-7045
(787) 743-4260
Mailing address
1254 AVE. PONCE DE LEON, SUTIE 600, SAN JUAN, PR 00907
(787) 649-7045
(787) 743-4260
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
163720
PR
Other
Enumeration date
10/26/2006
Last updated
05/28/2009
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