# MIGRANT HEALTH CENTER WESTERN REGION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932664026
- **Authorized official:** DR. TANIA RODRIGUEZ MORALES (DIRECTORA EJECUTIVA)
- **Authorized official phone:** (787) 831-5800

## Contact information

- **Practice address:** 119 CALLE LUIS MONTALVO, BO MARAVILLA NORTE, LAS MARIAS, PR 00670
- **Practice address phone:** (787) 827-4141
- **Practice address fax:** (787) 827-4141
- **Mailing address:** PO BOX 190, MAYAGUEZ, PR 00681-0190
- **Mailing address phone:** (787) 831-5800
- **Mailing address fax:** (787) 832-0740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 05/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0082212 | MEDICARE | PR |