Organization
ASSMCA
Active
Organization
ASSMCA
Active
Other names
Puerto Rico Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILSON IVAN GONZALEZ SW (SOCIAL WORKER)
(787) 832-6771
Entity
Organization
Contact information
Practice address
410 AVE HOSTOS STE 7, ASSMCA, MEDIACL CENTER, MAYAGUEZ, PR 00682-1500
(787) 832-6771
(787) 832-6771
Mailing address
424 CUMBRES DE MIRADERO, MAYAGUEZ, PR 00682-7518
(787) 834-0598
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4396
PR
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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