Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUAN C DOMINGUEZ
Active Sole ProprietorMR. JUAN C DOMINGUEZ is a Contractor healthcare provider located in MINEOLA, New York. NPI 1619835642 is currently active in the NPPES registry. Verify at CMS.
Contractor · MINEOLA, NY
Registration Details
- NPI Number
- 1619835642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2026 (0.60638986738962 yrs)
- Last Updated
- Jan 9, 2026
- License
-
204552 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 BERKLEY RDMINEOLA, NY, 115014604Browse NY providers · Browse ZIP 11501
- Phone
- 5162740606
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in MINEOLA, NY
| Name | Credential | NPI |
|---|---|---|
| CHARLENE DEL ROSARIO | — | 1619001237 |
| MR. JAMES PETER BARRY | O.T.R./L. | 1801077896 |
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.