Healthcare Provider Details

I. General information

NPI: 1164369401
Provider Name (Legal Business Name): MIGRANT HEALTH CENTER WESTERN REGION URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE RAMON EMETERIO BETANCES #497 COND. BDLG
MAYAGUEZ PR
00680-1714
US

IV. Provider business mailing address

PO BOX 190
MAYAGUEZ PR
00681-0190
US

V. Phone/Fax

Practice location:
  • Phone: 787-805-2900
  • Fax: 787-265-4245
Mailing address:
  • Phone: 787-831-5800
  • Fax: 787-832-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANIA RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 787-831-5800