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NPI Code Detail

MEDICARE: MIGRANT HEALTH CENTER WESTERN REGION, INC.

MEDICARE: MIGRANT HEALTH CENTER WESTERN REGION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1334132OTHERPRLICENCE

General Provider Information

NPI Number : 1528523578
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIGRANT HEALTH CENTER WESTERN REGION, INC.
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00681-0190
Country : US
Telephone Number : 787-831-5800
Fax Number : 787-834-1924
Provider Business Practice Location Address
First Line : 222 CALLE SAN RAFAEL
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680-4676
Country : US
Telephone Number : 787-834-7255
Fax Number : 787-834-1924
Authorized Official
Title or Position : DIRECTORA EJECUTIVA
Name : MRS. DOLORES MORALES
Credential :
Telephone Number : 787-613-6918
Provider Enumeration Date : 02/04/2019
Last Update Date : 02/04/2019

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Directions to “MIGRANT HEALTH CENTER WESTERN REGION, INC. ” Practice Location

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