# A.S.L. CSP

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

## Provider details

- **NPI number:** 1558776732
- **Authorized official:** DR. GERMAN R GONZALEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 849-2548

## Contact information

- **Practice address:** 510 CARR \#2, SUITE 103 PLAZA CONSTANCIA, HORMIGUEROS, PR 00660-9745
- **Practice address phone:** (787) 843-2548
- **Practice address fax:** (787) 849-2548
- **Mailing address:** 790 CALLE ARBOLEDA, HACIENDAS CONSTANCIA, HORMIGUEROS, PR 00660-9618
- **Mailing address phone:** (787) 560-3209
- **Mailing address fax:** (787) 849-2548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 11976 | PR | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 06/25/2014