NPI 1871928853

Edwin Gilberto Dominguez, SFIDC

Practitioner Independent Duty Corpsman Newport, RI

Practice location

Address: 43 Smith Rd, Newport, RI 02841-1006
Phone: (401) 841-6128
Mailing address: 22 Enterprise CT, Newport, RI 02840-1013

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Rhode Island →

Registry record

NPI: 1871928853
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2013
Record last updated: 9 Sep 2013

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.