Organization Active NPI

Assmca Mayaguez

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayaguez, PR
National Provider Identifier
1417371204
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
14464 Issued in PR
Legal business name
ASSMCA MAYAGUEZ
Practice address
410 Ave Hostos Ste 7
Mayaguez, PR 00682-1500
Phone
(787) 833-0663
Fax
(787) 833-1371
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Mrs. Zaida Alicea, RN
Title
Enfermera Generalista
Phone
(787) 833-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 14464 PR Primary

Addresses

Primary practice location

410 Ave Hostos Ste 7
Mayaguez, PR 00682-1500

Mailing address

410 Ave Hostos Ste 7
Mayaguez, PR 00682-1500
Phone (787) 833-0663

Other names 1

  • ASSMCA Mayaguez Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1417371204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS STE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821500",
            "telephone_number": "787-833-0663",
            "fax_number": "787-833-1371"
        },
        {
            "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",
            "fax_number": "787-833-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSMCA MAYAGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_title_or_position": "ENFERMERA GENERALISTA",
        "authorized_official_telephone_number": "787-833-0663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "14464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSMCA Mayaguez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 13, 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.