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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IVAN DOMINGUEZ, MD

Active

DR. IVAN DOMINGUEZ, MD is a Vascular Surgery healthcare provider located in SAN JUAN, Puerto Rico. NPI 1104070705 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · SAN JUAN, PR

Registration Details

NPI Number
1104070705
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2008 (17.763372008145 yrs)
Last Updated
Dec 20, 2019
Licenses
265300 (NY)
021391 (PR)

Practice Information

Address
1462 CALLE PROF AUGUSTO RODRIGUEZ
SAN JUAN, PR, 009092199
Browse PR providers · Browse ZIP 00909
Phone
7877276060
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in SAN JUAN, PR

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.