Individual
ESMERALDA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 CALLE BUEN CONSEJO, SAN JUAN, PR 00926-1619
(938) 246-9406
Mailing address
213 CALLE BUEN CONSEJO, SAN JUAN, PR 00926-1619
(938) 246-9406
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080033562377
—
PR
Enumeration date
10/20/2023
Last updated
10/28/2023
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