IVAN DOMINGUEZ

SAN JUAN, PR
NPI1104070705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: PR  021391)
Additional Taxonomies2086S0129X 
(Licence: NY  265300)
Enumeration Date2008-11-10
Last Update Date2019-12-20
Business Address
Dr. IVAN DOMINGUEZ MD
1462 CALLE PROF AUGUSTO RODRIGUEZ
SAN JUAN, PR 00909-2199
Phone number: 787-727-6060
Mailing Address
Dr. IVAN DOMINGUEZ MD
PO BOX 11137
SAN JUAN, PR 00910-2237
Phone number: 787-641-1616
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