Organization Active NPI

Assmca

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayaguez, PR
National Provider Identifier
1558774315
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
19326 Issued in PR
Legal business name
ASSMCA
Practice address
410 Ave Hostos Ste 7
Mayaguez, PR 00682-1500
Phone
(787) 833-0663
Fax
(787) 831-3714
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Iris Zavala, PHD
Title
Regional Director
Phone
(787) 833-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 19326 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

National Provider Directory

National Provider Directory

Locations

410 Ave Hostos
Ste 7
Mayaguez, PR 00682
Phone (787) 832-6770

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1558774315",
    "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": "787-831-3714"
        },
        {
            "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": "787-831-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "787-833-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "19326",
            "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 Jun 9, 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.