Individual
DR. ANGEL OMAR ROMAN DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 AVE LUNA, MANATI, PR 00674-4819
(787) 473-1786
Mailing address
PO BOX 764, BARCELONETA, PR 00617-0764
(787) 473-1786
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23633
PR
Other
Enumeration date
02/27/2023
Last updated
02/07/2024
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