Individual
GABRIEL DOMINGUEZ-CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2563 SWEET VIBURNUM WAY, OCOEE, FL 34761-5347
(407) 864-1301
Mailing address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
CCA
MA
01
—
1134107113
MBHP
MA
01
—
12529
HNE
MA
05
—
1307576
—
MA
01
—
71756
TUFTS
MA
01
—
997303
NETWORK HEALTH
MA
Enumeration date
01/11/2016
Last updated
06/18/2026
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