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Organization
ASSMCA
Active
Organization
ASSMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL RODRIGUEZ (ENFERMERO)
(787) 832-6771
Entity
Organization
Contact information
Practice address
STREET SEVILLA 81URB. VISTA ALEGRE, URB. VISTA ALEGRE, AGUADILLA, PR 00603
(787) 882-0208
Mailing address
81 CALLE SEVILLA, URB. VISTA ALEGRE, AGUADILLA, PR 00603-5909
(787) 882-0208
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
16088
NULL
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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