Organization Name: | ASSMCA |
NPI Number: | 1023229820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAEL RODRIGUEZ (ENFERMERO) |
Mailing Address: | Street Sevilla 81urb. Vista Alegre Urb. Vista Alegre Aguadilla |
State: | PR US |
Postal Code: | 00603 |
Phone Number: | 7878820208 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 16088 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |