Organization
INTEGRATE COMMUNITY HEALTH SYSTEM
Active
Other names
Metro Pavia Clinic Luquillo - Clinica
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN SOLIVAN (DIRECTOR)
(787) 641-4234
Entity
Organization
Contact information
Practice address
CARR 3 KM 32.0 INTERIOR, BO MAMEYES, LUQUILLO, PR 00773
(787) 355-0056
(787) 355-0058
Mailing address
400 CALLE CALAF PMB 455, SAN JUAN, PR 00918-1314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/05/2010
Last updated
01/07/2025
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