Provider Demographics
NPI:1710779632
Name:INTEGRO FERTILITY LLC
Entity type:Organization
Organization Name:INTEGRO FERTILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:ALESSANDRA
Authorized Official - Last Name:SAFINA VACCARO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:305-877-4002
Mailing Address - Street 1:4100 SALZEDO ST APT 708
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1754
Mailing Address - Country:US
Mailing Address - Phone:305-877-4002
Mailing Address - Fax:
Practice Address - Street 1:4100 SALZEDO ST APT 708
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1754
Practice Address - Country:US
Practice Address - Phone:305-877-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty