Organization
CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC)
Active
Other names
NO, Migrant Health Center Western Region Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA RODRIGUEZ (CEO)
(787) 831-5800
Entity
Organization
Contact information
Practice address
CARR PR 122 KM 0.6 AVE CASTRO PEREZ, BO. GUAMA, SAN GERMAN, PR 00683
(787) 652-2376
Mailing address
PO BOX 190, MAYAGUEZ, PR 00681-0190
(787) 831-5800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/24/2025
Last updated
12/22/2025
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