Active NPI
Norman Domenech Jr.
- Community/Behavioral Health Agency
- Mayaguez, PR
National Provider Identifier
1609089614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 410 Ave. Hostos Suite 7
Mayaguez, PR 00682-1522 - Phone
- (787) 833-0663
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
410 Ave. Hostos Suite 7
Mayaguez, PR 00682-1522
Mailing address
PO Box 514
San German, PR 00683-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609089614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 514",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 AVE. HOSTOS SUITE 7",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821522",
"telephone_number": "787-833-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMENECH",
"first_name": "NORMAN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Jose Sigfredo Diaz, MD
- Maria Antonia Diaz, M.D.
- Liliana M Diez, D.M.D.
- Doctors of Puerto Rico LLC
- Jose A. Domenech, TECNICO DE FARMACIA
- Waleska M Donato, DPM
- Jose Juan Doreste Santiago, DNP, CRNA
- Dr Eduardo E Rodes Oliver CSP
- Dr Miguel a. Velasco Medicina Interna-CSP
- Dr Morell S Eye Care Clinic CSP (Dr Morell S Eye Care Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.