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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
1152W00000XOptometrist
2332H00000XEyewear Supplier
3261QM1000XMigrant Health Clinic/Center

General Provider Information

NPI Number : 1861864977
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 : 787-833-5890
Fax Number : 787-834-1924
Provider Business Practice Location Address
First Line : CALLE RAMON EMETERIO BETANCES 497 COND BLDG
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680-1714
Country : US
Telephone Number : 787-805-2900
Fax Number : 787-832-0740
Authorized Official
Title or Position : CEO
Name : TANIA RODRIGUEZ
Credential : DRA
Telephone Number : 787-831-5800
Provider Enumeration Date : 10/28/2015
Last Update Date : 03/31/2025

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

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