Healthcare Provider Details

I. General information

NPI: 1033032966
Provider Name (Legal Business Name): INTEGRATED CARE ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 ELEANOR ROOSVELT
SAN JUAN PR
00918
US

IV. Provider business mailing address

B1-17 CALLE B MANSIONES DE VILLANOVA
SAN JUAN PR
00926-6438
US

V. Phone/Fax

Practice location:
  • Phone: 787-765-7971
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN NIEVES CINTRON
Title or Position: PRESIDENT
Credential: MD
Phone: 787-548-5986