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General NPI Number Information
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NPI Number | 1063340727
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Entity Type | Organization
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Legal Business Name | MIGRANT HEALTH CENTER WESTERN REGION, INC.
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | CARR. ESTATAL # 100 KM 6.1 BO. MIRADERO
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City | CABO ROJO
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State | PR
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Zip | 00681-0190
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Country | US
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Telephone | 787-940-0911
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Fax | 787-254-0816
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | MAYAGUEZ
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State | PR
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Zip | 00681-0190
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Country | US
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Telephone | 787-831-5800
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Fax | 787-832-0740
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Authorized Official
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Title or Position | CEO
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Name | TANIA RODRIGUEZ
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Credential | DRA.
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Telephone | 787-831-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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