Provider Demographics
NPI:1972871648
Name:ASSMCA
Entity Type:Organization
Organization Name:ASSMCA
Other - Org Name:PROGRAMA DE VUELTA A LA VIDA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SPECIALIST IN NURSING
Authorized Official - Prefix:
Authorized Official - First Name:AREMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:787-366-1502
Mailing Address - Street 1:PO BOX 420
Mailing Address - Street 2:
Mailing Address - City:RIO BLANCO
Mailing Address - State:PR
Mailing Address - Zip Code:00744-0420
Mailing Address - Country:US
Mailing Address - Phone:787-366-1502
Mailing Address - Fax:
Practice Address - Street 1:C1 B19 EXT. ESTANCIAS DEL SOL
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-366-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR305213104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness