Individual
NORMAN DOMENECH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 AVE. HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 833-0663
Mailing address
PO BOX 514, SAN GERMAN, PR 00683-0514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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