Healthcare Provider Details

I. General information

NPI: 1104733914
Provider Name (Legal Business Name): INTEGRAMED PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 63-1 SEC CANDELARIA
ARECIBO PR
00612-5973
US

IV. Provider business mailing address

441 CALLE GAVIELA
ARECIBO PR
00612-5973
US

V. Phone/Fax

Practice location:
  • Phone: 787-650-4857
  • Fax: 787-650-9869
Mailing address:
  • Phone: 787-650-4857
  • Fax: 787-650-9869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTHUR MITCHELL TOLLINCHI HERNANDEZ
Title or Position: OWNER
Credential: MD
Phone: 939-258-2989