Organization
ASSMCA
Active
Organization
ASSMCA
Active
Other names
programa de vuelta a la vida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A CHEVERE L.P.N (NURSE)
(787) 463-9094
Entity
Organization
Contact information
Practice address
H20 CALLE A, CAROLINA, PR 00985-5565
(787) 463-9094
Mailing address
H20 CALLE A, CAROLINA, PR 00985-5565
(787) 463-9094
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
34657
PR
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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