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Organization
ASSMCA
Active
Organization
ASSMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YAIDIMAR RODRIGUEZ MSW (SOCIAL WORK)
(939) 325-9290
Entity
Organization
Contact information
Practice address
BLVD NICANOR VAZQUEZ TORRE 3 PISO 4, HUMACAO, PR 00792
(939) 325-9290
Mailing address
BARRION RINCON LOMA, PO BOX 1438, CAYEY, PR 00737
(939) 325-9290
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
9854
PR
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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