NPI 1104070705

Ivan Dominguez, MD

Practitioner Vascular Surgery Physician San Juan, PR

Practice location

Address: 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199
Phone: (787) 727-6060
Mailing address: PO Box 11137, San Juan, PR 00910-2237

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 021391 (PR)

Other Surgery providers in Puerto Rico →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 265300 (NY)

Registry record

NPI: 1104070705
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2008
Record last updated: 20 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.