Dominguez, Ivan

Dominguez, Ivan is an individual health care provider with primary practice located at 1462 Calle Prof Augusto Rodriguez , San Juan PR 00909-2199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dominguez, Ivan can be contacted via phone (787) 727-6060.

Contact Information

Primary practice address
1462 Calle Prof Augusto Rodriguez San Juan PR 00909-2199
Phone: (787) 727-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 265300 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 021391 Puerto Rico

Profile Details

NPI number 1104070705
LBN Legal business name Dominguez, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2008
Last updated Dec 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers