| Integralis Services Llc | |
|
121 Ruta 474 Isabela PR 00662-4023 | |
| (939) 323-0563 | |
| Not Available |
| Full Name | Integralis Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 121 Ruta 474, Isabela, Puerto Rico |
| Authorized Official Name and Position | Omar Antonio Samot (PRESIDENT) |
| Authorized Official Contact | 9397171653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integralis Services Llc Po Box 2537 Isabela PR 00662-9537 Ph: (939) 323-0563 | Integralis Services Llc 121 Ruta 474 Isabela PR 00662-4023 Ph: (939) 323-0563 |
| NPI Number | 1811753155 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/24/2024 |
| Medicare PECOS PAC ID | 4688103203 |
|---|---|
| Medicare Enrollment ID | O20250128002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811753155 | NPI | - | NPPES |
| Provider Name | Omar Antonio Samot Cruz |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1184359804 PECOS PAC ID: 4880066877 Enrollment ID: I20230221002745 |
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