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General NPI Number Information
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NPI Number | 1669354486
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Entity Type | Organization
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Legal Business Name | MIGRANT HEALTH CENTER WESTERN REGION- EARLY CHILHOOD DEVELOPMENT
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 397 CALLE DR RAMON E BETANCES S
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City | MAYAGUEZ
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State | PR
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Zip | 00680-1703
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Country | US
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Telephone | 787-833-8282
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Fax | 787-834-1924
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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 | DR. TANIA RODRIGUEZ
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 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 #5
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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 #6
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine 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 | 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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