Individual
ALBERTO DOMINGUEZ VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE, SUITE 306, ALBUQUERQUE, NM 87106-4917
(505) 563-1000
(505) 563-1010
Mailing address
4101 INDIAN SCHOOL RD NE, STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-7096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36052
AZ
208600000X
Surgery Physician
Primary
MD2011-0499
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
46968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323605600
—
MN
Enumeration date
12/21/2005
Last updated
02/04/2020
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