Individual
DR. RICARDO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 E 25TH ST, SUITE 303, HIALEAH, FL 33013-3825
(305) 693-7412
(305) 693-7416
Mailing address
15211 FINTRY PL, MIAMI LAKES, FL 33016-1424
(305) 819-3077
(305) 827-0636
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME87966
FL
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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