Organization Active NPI

Assmca

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayaguez, PR
National Provider Identifier
1043515869
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
017935 Issued in PR
Legal business name
ASSMCA
Practice address
410 Ave Hostos
Suite7
Mayaguez, PR 00682-1560
Phone
(787) 833-0663
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Genaro Mercado, NURSE
Title
Nurse
Phone
(787) 833-0663

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 017935 PR
Clinic/Center 261Q00000X 017935 PR
Community Health Clinic/Center 261QC1500X 017935 PR
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 017935 PR Primary

Addresses

Primary practice location

410 Ave Hostos
Suite7
Mayaguez, PR 00682-1560

Mailing address

410 Ave Hostos
Suite7
Mayaguez, PR 00682-1560
Phone (787) 833-0663

National Provider Directory

National Provider Directory
Tax ID family
Assmca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1043515869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "address_2": "SUITE7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-833-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "address_2": "SUITE7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-833-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "GENARO",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "787-833-0663",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "017935",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "017935",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "PR",
            "license": "017935",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "017935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.