ASSMCA – NPI #1164630109
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

ASSMCA is an AHC clinic located in MAYAGUEZ, PR. NPPES has assigned the NPI number 1164630109 to ASSMCA on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PUERTO RICO HEALTH DEPARTMENT. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASSMCA below.

NPI Profile for
ASSMCA

NPI Number
1164630109
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASSMCA
Former Legal Business Name: PUERTO RICO HEALTH DEPARTMENT
Primary location
410 AVE HOSTOS STE 7
ASSMCA, MEDIACL CENTER
MAYAGUEZ, PR 00682-1500
Phone: (787) 832-6771 Fax: (787) 832-6771
Mailing address
424 CUMBRES DE MIRADERO
MAYAGUEZ, PR 00682-7518
Phone: (787) 834-0598 Fax:
Organization Subpart
No
Authorized Official
WILSON GONZALEZ
SOCIAL WORKER
Phone: (787) 832-6771
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)		 PR 4396

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.