| Assmca | |
|
410 Ave Hostos Ste 7 Assmca, Mediacl Center Mayaguez PR 00682-1500 | |
| (787) 832-6771 | |
| (787) 832-6771 |
| Full Name | Assmca |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 410 Ave Hostos Ste 7, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Wilson Ivan Gonzalez (SOCIAL WORKER) |
| Authorized Official Contact | 7878326771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assmca 424 Cumbres De Miradero Mayaguez PR 00682-7518 Ph: (787) 834-0598 | Assmca 410 Ave Hostos Ste 7 Assmca, Mediacl Center Mayaguez PR 00682-1500 Ph: (787) 832-6771 |
| NPI Number | 1164630109 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164630109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 4396 (Puerto Rico) | Primary |
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