Provider Demographics
NPI:1376980870
Name:TOTAL HEALTH INTEGRATED SOLUTIONS, INC
Entity Type:Organization
Organization Name:TOTAL HEALTH INTEGRATED SOLUTIONS, INC
Other - Org Name:THIS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-269-6590
Mailing Address - Street 1:PMB 314
Mailing Address - Street 2:PO BOX 607071
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7071
Mailing Address - Country:US
Mailing Address - Phone:787-269-6590
Mailing Address - Fax:787-269-6599
Practice Address - Street 1:CALLE MANUEL ROSSY ESQ ISABEL II
Practice Address - Street 2:BAYAMON HEALTH CENTER PISO 2
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-269-6590
Practice Address - Fax:787-269-6599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service