Provider Demographics
NPI:1548590870
Name:INTERGYN PSC
Entity Type:Organization
Organization Name:INTERGYN PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOAMOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-701-1377
Mailing Address - Street 1:LOS COLOBOS SHPG. CTR.
Mailing Address - Street 2:CINEMA BLDG. SUITE 205
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-701-1377
Mailing Address - Fax:787-776-0231
Practice Address - Street 1:LOS COLOBOS SHPG. CTR. ,65 INFT. AVE. KM.17
Practice Address - Street 2:CINEMA BLDG. SUITE 205
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-701-1377
Practice Address - Fax:787-776-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6900207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC84270Medicare UPIN
98618Medicare PIN