Organization
INTEGRA TOTAL MANAGE CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HERNANDEZ M.D. LIC. 11034 (PRESIDENT)
(787) 307-3399
Entity
Organization
Contact information
Practice address
PONCE DE LEON AVENUE 402 UNION PLAZA BLD., SUITE 802, SAN JUAN, PR 00917
(787) 758-3206
(787) 772-4724
Mailing address
PO BOX 367312, SAN JUAN, PR 00936-7312
(787) 758-3206
(787) 772-4724
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
11/01/2011
Last updated
02/02/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us