Assmca Mayaguez

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

16820 Issued in PR

Legal business name

ASSMCA MAYAGUEZ

Practice address

410 Ave Hostos Ste 7
Mayaguez, PR 00682-1500

Phone

(787) 833-0663

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Pena, LPN

Title

Enfermero Practico

Phone

(787) 833-0663

Specialties & licenses 1

Addresses

Other names 1

• ASSMCA Mayaguez Other name

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1417371188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS SUITE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821522",
            "telephone_number": "787-833-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS STE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821500",
            "telephone_number": "787-833-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSMCA MAYAGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "ENFERMERO PRACTICO",
        "authorized_official_telephone_number": "787-833-0663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "16820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSMCA Mayaguez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Assmca
• Assmca
• Assmca
• Assmca
• Assmca
• Assmca Mayaguez
• Atencion Primaria Porta del Sol LLC
• Atlantis Health Care Group Puerto Rico, Inc. (Renal Centre of Mayaguez)
• Juan J Avellanet Rivera, RN
• Alberto Aviles Munoz

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.