Active NPI
Assmca
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mayaguez, PR
National Provider Identifier
1043515869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 017935
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Assmca
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mayaguez, PR
- NPI 1295048734
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.