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NPI Code Detail

MEDICARE: INTEGRAL HEALTHCARE SERVICES LLC

MEDICARE: INTEGRAL HEALTHCARE SERVICES LLC
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
1261QM1300XMulti-Specialty Clinic/Center4074PR

General Provider Information

NPI Number : 1548639206
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRAL HEALTHCARE SERVICES LLC
Provider Business Mailing Address
First Line : RR 5 BOX 8760
Second Line :
City : BAYAMON
State : PR
Zip : 00956-9759
Country : US
Telephone Number : 787-503-8889
Fax Number :
Provider Business Practice Location Address
First Line : 3180 CALLE CRESTA
Second Line : LEVITTOWN
City : TOA BAJA
State : PR
Zip : 00949-3130
Country : US
Telephone Number : 787-503-8889
Fax Number :
Authorized Official
Title or Position : PRESIDENT OWNER
Name : DR. MELISSA BARRIOS
Credential : PSY.D
Telephone Number : 787-503-8889
Provider Enumeration Date : 09/23/2015
Last Update Date : 09/23/2015

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Directions to “INTEGRAL HEALTHCARE SERVICES LLC ” Practice Location

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