Provider Demographics
NPI:1366314874
Name:INTEGRATIVE PM & R
Entity type:Organization
Organization Name:INTEGRATIVE PM & R
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:COSS ALAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-694-4038
Mailing Address - Street 1:PLACID COURT #73
Mailing Address - Street 2:APT. 5C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-694-4038
Mailing Address - Fax:787-269-5686
Practice Address - Street 1:SANTA ROSA MALL SUITE 218
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-694-4038
Practice Address - Fax:787-269-5686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty