Organization
CENTRO DE MEDICINA PRIMARIA VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ PASCUAL M.D. (PRESIDENT)
(787) 883-0124
Entity
Organization
Contact information
Practice address
CALLE LUIS MUNOZ RIVERA, #3, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-7645
Mailing address
PO BOX 4317, VEGA BAJA, PR 00694-4317
(787) 883-0124
(787) 883-7645
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19197
TRIPLE S
PR
Enumeration date
10/24/2006
Last updated
02/25/2026
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