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Organization
MIGRANT HEALTH CENTER WESTERN REGION, INC.
Active
Organization
MIGRANT HEALTH CENTER WESTERN REGION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA RODRIGUEZ MORALES (DIRECTORA EJECUTIVA)
(787) 831-5800
Entity
Organization
Contact information
Practice address
119 CALLE LUIS MONTALVO, BO MARAVILLA NORTE, LAS MARIAS, PR 00670
(787) 827-4141
(787) 827-4141
Mailing address
PO BOX 190, MAYAGUEZ, PR 00681-0190
(787) 831-5800
(787) 832-0740
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082212
MEDICARE
PR
Enumeration date
02/04/2019
Last updated
05/19/2023
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