Certified Community Behavioral Health Clinic (Ccbhc)

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

NPI 1952113102 · NPPES record last updated Dec 22, 2025

Key facts

NPI
1952113102
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC)
Practice address
Carr PR 122 KM 0.6 Ave Castro Perez
Bo. Guama
San German, PR 00683
Phone
(787) 652-2376
NPI assigned
Jan 24, 2025
Organization subpart
No

Authorized official

Name
Tania Rodriguez
Title
Ceo
Phone
(787) 831-5800

Corporate family (same tax ID) 14

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

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 Yes
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

Carr PR 122 KM 0.6 Ave Castro Perez
Bo. Guama
San German, PR 00683

Mailing address

PO Box 190
Mayaguez, PR 00681-0190
Phone (787) 831-5800

Other names

  • Migrant Health Center Western Region Inc Other name
  • NO Other name

Other providers in San German, PR

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

Sources for this page

Verify at the official NPI Registry.