Located in Ocotal, Nueva Segovia, about 225 km from Managua, the new “Hospital Departmental de Nueva Segovia” replaces a 60-year-old facility. Awarded to VAMED in late 2018, the project includes construction, equipment delivery, installation, training, and maintenance. With approximately 230 beds, the hospital offers services in internal medicine, surgery, pediatrics, orthopedics, ophthalmology, and ENT. It features five operating theatres, adult and pediatric ICUs, and neonatology. Serving over 260,000 people, it sets new medical standards for northern Nicaragua and stands as a key reference project in the national healthcare system.