Individual
JORGE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
231 CALLE DUARTE, SAN JUAN, PR 00917-3631
(787) 773-3250
(787) 767-5918
Mailing address
URB. VALENCIA CALLE TOLEDO #608, SAN JUAN, PR 00923
(787) 258-2835
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13324
PR
Other
Enumeration date
01/30/2006
Last updated
12/29/2017
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