Organization
ASSMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIAZ MUJICA ANGEL (ENFERMERO GENERALISTA)
(787) 995-5200
Entity
Organization
Contact information
Practice address
GLADIOLA 7B, CIUDAD JARDIN, CAROLINA, PR 00985
(787) 637-4414
Mailing address
GLADIOLA 7B, CIUDAD JARDIN, CAROLINA, PR 00985
(787) 637-4414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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