Individual
MIGUEL ANGEL DOMINGUEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
212 W FIESTA DR TRLR 53A, CARLSBAD, NM 88220-5523
(575) 361-8104
Mailing address
212 W FIESTA DR TRLR 53A, CARLSBAD, NM 88220-5523
(575) 361-8104
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-689
NM
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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