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Organization

ASSMCA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROLANDO DE LA CRUZ (ASISTENTE PSICOSOCIAL)
(787) 934-5624
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PR

Other

Enumeration date
05/23/2007
Last updated
09/10/2008
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