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General NPI Number Information
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NPI Number | 1912491465
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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 | 06/19/2018
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Last Update Date | 07/01/2025
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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 |
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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 | 787-613-6918
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Fax | 787-834-1924
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Authorized Official
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Title or Position | DIRECTOR EJECUTIVO
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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 | 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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