Organization
ASSMCA
Active
Parent organization
ASSMCA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSMCA
Authorized official
MR. REYNALDO GONZALEZ RN (NURSING)
(787) 374-9208
Entity
Organization
Contact information
Practice address
M37 CALLE 9, URB VILLAS DE SAN AGUSTIN II, BAYAMON, PR 00959-2000
(787) 374-9208
(787) 995-5174
Mailing address
VILLAS DE SAN AGUSTIN II CALLE 9 M37, BAYAMON, PR 00959
(787) 374-9208
(787) 995-5174
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2340
PR
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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