Individual
DR. CARLOS E. DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168A CALLE LAS FLORES, JUANA DIAZ, PR 00795-2532
(787) 837-2923
(787) 837-1688
Mailing address
PO BOX 1418, JUANA DIAZ, PR 00795-1418
(787) 837-2923
(787) 837-1688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5974
PR
Other
Enumeration date
11/16/2005
Last updated
09/03/2013
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