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General NPI Number Information
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NPI Number | 1518189984
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Entity Type | Organization
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Legal Business Name | INTEGRATE COMMUNITY HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | URB LAS LOMAS #1785 CARR #21 FACILIDADES HOSPITAL METROPOLITANO
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-774-5685
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Fax | 787-782-5664
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Provider Business Mailing Address
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Address Line | 400 CALAF STREET PMB 455
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City | SAN JUAN
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State | PR
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Zip | 00918-1314
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Country | US
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Telephone | 787-641-4234
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Fax | 787-274-8895
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. ALEXANDER RIVERA
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Credential |
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Telephone | 787-641-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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