Provider Demographics
NPI:1295951267
Name:INTEGRATE COMMUNITY HEALTH SYSTEM
Entity type:Organization
Organization Name:INTEGRATE COMMUNITY HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GOMEZ
Authorized Official - Last Name:NERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-226-2206
Mailing Address - Street 1:CAMINO REAL STREET 19
Mailing Address - Street 2:E 501
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-226-2206
Mailing Address - Fax:
Practice Address - Street 1:METROPOLITAN CLINIC
Practice Address - Street 2:URBANIZACION LAS LOMAS CLINICAS EXT 1785 CARR 81
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-273-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health