# HOSPITAL DR. DOMINGUEZ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659591964
- **Authorized official:** MR. MIGUEL SOLIVAN (ADMINISTRADOR)
- **Authorized official phone:** (787) 852-0505

## Contact information

- **Practice address:** AVE. FONT MARTELLO \# 300, HUMACAO, PR 00792-0699
- **Practice address phone:** (787) 852-0505
- **Practice address fax:** (787) 850-4230
- **Mailing address:** AVE. FONT MARTELLO \# 300, PO BOX 699, HUMACAO, PR 00792-0699
- **Mailing address phone:** (787) 852-0505
- **Mailing address fax:** (787) 850-4230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 44 | PR | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 08/22/2020