Dominguez, Maria S

Dominguez, Maria S is an sole proprietor health care provider with primary practice located at Carretera #2 Km 39 Mb Collego , Vega Baja PR 00960-5727. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Dominguez, Maria S can be contacted via phone (787) 807-8302.

Contact Information

Primary practice address
Carretera #2 Km 39 Mb Collego Vega Baja PR 00960-5727
Fax: (787) 807-7218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14458 Puerto Rico

Profile Details

NPI number 1952362345
LBN Legal business name Dominguez, Maria S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Feb 8th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952362345 NPPES
Puerto Rico MEDICAID 84678

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