Organization
NORTE MED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDALIAS DOMINGUEZ MD (PRESIDENT)
(787) 878-4885
Entity
Organization
Contact information
Practice address
54 CALLE ANDRES OLIVER, ARECIBO, PR 00612-4330
(787) 878-4885
(787) 878-8633
Mailing address
PO BOX 140040, ARECIBO, PR 00614-0040
(787) 878-4885
(787) 878-8633
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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