MEDICARE: INTEGRACARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1083544803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRACARE

Provider Business Mailing Address
First Line	:	URB MONTE MAYOR
Second Line	:	554 CALLE FAISAN
City	:	DORADO
State	:	PR
Zip	:	00646-9454
Country	:	US
Telephone Number	:	787-974-7295
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB MONTE MAYOR
Second Line	:	554 CALLE FAISAN
City	:	DORADO
State	:	PR
Zip	:	00646-9454
Country	:	US
Telephone Number	:	787-974-7295
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EMMANUEL RODRIGUEZ ACOSTA
Credential	:	MD
Telephone Number	:	787-974-7295

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “INTEGRACARE ” Practice Location

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