# MAYAGUEZ AMBULATORY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1194169185
- **Authorized official:** MS. ANGIE L JIMENEZ MHSA (ADMINISTRATOR)
- **Authorized official phone:** (787) 522-2825

## Contact information

- **Practice address:** MAYAGUEZ TOWN CENTER, POST STREET \# 252 LOCAL 1, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 522-2825
- **Practice address fax:** (787) 522-2848
- **Mailing address:** CITY VIEW PLAZA 1010, STREET 165 KM 1.2 \# 48, GUAYNABO, PR 00968
- **Mailing address phone:** (787) 522-2825
- **Mailing address fax:** (787) 522-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 04/22/2013