Organization
ASSMCA MAYAGUEZ
Active
Other names
ASSMCA Mayaguez
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON PENA LPN (ENFERMERO PRACTICO)
(787) 833-0663
Entity
Organization
Contact information
Practice address
410 AVE HOSTOS STE 7, MAYAGUEZ, PR 00682-1500
(787) 833-0663
Mailing address
410 AVE HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 833-0663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
16820
PR
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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