Organization
ASSMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN GLORIA CRUZ (REGIONAL DIRECTOR)
(787) 831-3714
Entity
Organization
Contact information
Practice address
410 AVE HOSTOS, SUITE 7 CENTRO SALUD MENTAL MAYAGUEZ, MAYAGUEZ, PR 00682-1522
(787) 831-3714
(787) 831-3714
Mailing address
410 AVE HOSTOS, SUITE 7 CENTRO SALUD MENTAL MAYAGUEZ, MAYAGUEZ, PR 00682-1522
(787) 831-3714
(787) 831-3714
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
017935
PR
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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