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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
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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