# ASSMCA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063622488
- **Authorized official:** MR. ROLANDO DE LA CRUZ (ASISTENTE PSICOSOCIAL)
- **Authorized official phone:** (787) 934-5624

## Contact information

- **Practice address:** CARR 446 KM 6.0 BO.LLANADAS SECTOR IGLESIA, ISABELA, PR 00662
- **Practice address phone:** (787) 934-5624
- **Mailing address:** CARR. 446 KM. 6.0, BO. LLANADAS, ISABELA, PR 00662
- **Mailing address phone:** (787) 934-5624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 09/10/2008