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Individual
DR. LUIS ALBERTO DOMINGUEZ CARRAZQUILLO
Active
Individual
DR. LUIS ALBERTO DOMINGUEZ CARRAZQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1099
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099
MENONITA
PR
01
—
26016
AMERICAN HEALTH
PR
01
—
4-1072
TRIPLE SSS
PR
01
—
40624
CRUZ AZUL
PR
01
—
6540025
HUMANA
PR
01
—
8634
IMC
PR
Enumeration date
07/07/2005
Last updated
07/08/2007
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