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

Specialty	Code	License #	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.

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