| Integra Total Manage Care PSC | |
|
Ponce De Leon Avenue 402 Union Plaza Bld. Suite 802 San Juan PR 00917 | |
| (787) 758-3206 | |
| (787) 772-4724 |
| Full Name | Integra Total Manage Care PSC |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | Ponce De Leon Avenue 402 Union Plaza Bld., San Juan, Puerto Rico |
| Authorized Official Name and Position | Victor Hernandez (PRESIDENT) |
| Authorized Official Contact | 7873073399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Total Manage Care PSC Po Box 367312 San Juan PR 00936-7312 Ph: (787) 758-3206 | Integra Total Manage Care PSC Ponce De Leon Avenue 402 Union Plaza Bld. Suite 802 San Juan PR 00917 Ph: (787) 758-3206 |
| NPI Number | 1720364904 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720364904 | NPI | - | NPPES |
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