Organization
MIGRANT HEALTH CENTER WESTERN REGION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES MORALES (DIRECTORA EJECUTIVA)
(787) 613-6918
Entity
Organization
Contact information
Practice address
AVE. EMERITO ESTRADA RIVERA #424, CARR. ESTATAL PR-111 KM 22, SAN SEBASTIAN, PR 00685
(787) 896-3161
(787) 834-1924
Mailing address
PO BOX 190, MAYAGUEZ, PR 00681-0190
(787) 613-6918
(787) 834-1924
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
728
LICENSE
PR
Enumeration date
02/04/2019
Last updated
02/04/2019
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