Healthcare Provider Details

I. General information

NPI: 1366314874
Provider Name (Legal Business Name): INTEGRATIVE PM & R
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LA HACIENDA AV. PEDRO ALBIZU CAMPOS
GUAYAMA PR
00784-0011
US

IV. Provider business mailing address

PLACID COURT #73 APT. 5C
SAN JUAN PR
00907
US

V. Phone/Fax

Practice location:
  • Phone: 787-864-4300
  • Fax:
Mailing address:
  • Phone: 787-694-4038
  • Fax: 787-269-5686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDUARDO COSS ALAMO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-694-4038