# NORTE MED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306050570
- **Authorized official:** MRS. MILDALIAS DOMINGUEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 878-4885

## Contact information

- **Practice address:** 54 CALLE ANDRES OLIVER, ARECIBO, PR 00612-4330
- **Practice address phone:** (787) 878-4885
- **Practice address fax:** (787) 878-8633
- **Mailing address:** PO BOX 140040, ARECIBO, PR 00614-0040
- **Mailing address phone:** (787) 878-4885
- **Mailing address fax:** (787) 878-8633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020