Assmca
Clinic/Center, Adult Mental Health in Mayaguez, PR. Organization (NPI-2).
NPI number1164630109
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1164630109
- Entity type
- Organization (NPI-2)
- Legal business name
- Assmca
- Organization subpart
- No
- Enumeration date
- May 21, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 4396 | PR | Yes |
Other names
- Puerto Rico Health Department (Former Legal Business Name)
Practice location
410 Ave Hostos Ste 7Assmca, Mediacl Center
Mayaguez, PR 00682-1500
Phone 787-832-6771 · Fax 787-832-6771
Mailing address
424 Cumbres De MiraderoMayaguez, PR 00682-7518
Phone 787-834-0598
Authorized official
Wilson Ivan Gonzalez
Social Worker
7878326771
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