Dr. Ivan Dominguez
Vascular Surgeon
1462 Calle Prof Augusto Rodriguez
San Juan
, Puerto Rico 00909-2199
Dr. Ivan Dominguez
Vascular Surgeon
1462 Calle Prof Augusto Rodriguez
San Juan
, Puerto Rico 00909-2199
(787) 641-1616
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ivan Dominguez
- Po Box 11137
- San Juan, PR
- Zip : 00910-2237
- Phone : (787) 641-1616
Second Address
- Dr. Ivan Dominguez
- 1462 Calle Prof Augusto Rodriguez
- San Juan, PR
- Zip : 00909-2199
- Phone : (787) 727-6060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 021391 | PR |
| N | 2086S0129X | Vascular Surgeon | 265300 | NY |
National Provider Identifier
| NPI | 1104070705 |
|---|---|
| Provider Name | Dr. Ivan Dominguez |
| First Address | San Juan, PR 00910-2237 |
| Second Address | San Juan, PR 00909-2199 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2008 |
| Last Update Date | 20/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.