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NPI 1609089614

IndividualActive

Norman Domenech

NPI 1609089614 · Community/Behavioral Health Agency · Mayaguez, PR

Provider details

NPI number: 1609089614
Entity type: Individual
Primary specialty: Community/Behavioral Health AgencyAgencies
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies

Practice location

410 Ave. Hostos Suite 7

Mayaguez, PR 00682-1522

Phone: (787) 833-0663

More PR providers

Mailing address

Po Box 514

San German, PR 00683-0514

Registry dates

Enumerated: 2007-05-07
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Norman Domenech — NPI 1609089614, Mayaguez, PR | NPI Central