NPIMap

Migrant Health Center Western Region, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Maricao, PR

NPI 1891098331 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1891098331
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
06148 (PR)
Legal business name
MIGRANT HEALTH CENTER WESTERN REGION, INC.
Practice address
7 Calle Zuzuarregui
Maricao, PR 00606-1246
Phone
(787) 838-3057
Fax
(787) 834-1924
NPI assigned
Dec 6, 2010
Organization subpart
No

Authorized official

Name
Tania Rodriguez, DRA.
Title
Directora Ejecutiva
Phone
(787) 831-5800

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Federally qualified health center certification: CCN 401814

Legal name
MIGRANT HEALTH CENTER WESTERN REGION,INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 25, 2012
Last certification
Jul 25, 2012
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jul 24, 1986 in PR
Enrollment address
Calle Zuzuarregui Numero 7
Maricao, PR 6060190
Related CCNs
401804

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Enid Ortiz Martell
Individual 		W-2 Managing Employee
Supervisor de Contratos		 Jan 1, 2022
Operational/Managerial Control
Ceo Assistant		 Jan 1, 2022
Nestor Bracero Ledesma
Individual 		Contracted Managing Employee
Ceo Assistant		 Jan 1, 2022
Operational/Managerial Control
Ceo Assistant		 Jan 1, 2022
Tania Rodriguez
Individual 		Corporate Director
Ceo		 Jan 1, 2022 80%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20121218000253 PR Part a Provider - Federally Qualified Health Center (FQHC) 4183520810 Practice locations: Maricao, PR

National Provider Directory

Tax ID family
Migrant Health Center Western Regioninc (70 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 06148 PR Yes
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

7 Calle Zuzuarregui
Maricao, PR 00606-1246

Mailing address

PO Box 190
Mayaguez, PR 00681-0190
Phone (787) 805-7360

Other providers in Maricao, PR

All providers in Maricao, PR · Federally Qualified Health Center (FQHC) in Puerto Rico

Sources for this page

Verify at the official NPI Registry.