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General NPI Number Information
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NPI Number | 1609969286
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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 | 10/02/2006
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | CALLE RAMON EMETERIO BETANCES 497 COND BLDG
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City | MAYAGUEZ
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State | PR
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Zip | 00680-1714
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Country | US
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Telephone | 787-805-2900
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Fax | 787-265-4245
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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 | 787-805-2920
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Fax | 787-834-1924
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Authorized Official
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Title or Position | DIRECTORA EJECUTIVA
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Name | DR. TANIA RODRIGUEZ MORALES
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Credential |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number | 06148
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License Number State | PR
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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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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Taxonomy #11
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 261QR0207X
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Taxonomy Name | Mobile Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #15
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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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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 037492808
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Identifier Type | MEDICAID
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Identifier State | PR
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Identifier Issuer |
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Identifier #2
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Identifier Code | 039115304
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Identifier Type | MEDICAID
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Identifier State | PR
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Identifier Issuer |
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