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1629049432
JORGE DOMINGUEZ
SAN JUAN, PR
NPI
1629049432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 13324)
Enumeration Date
2006-01-30
Last Update Date
2017-12-29
Business Address
JORGE DOMINGUEZ MD
231 CALLE DUARTE
SAN JUAN, PR 00917-3631
Phone number: 787-773-3250
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Mailing Address
JORGE DOMINGUEZ MD
URB. VALENCIA CALLE TOLEDO #608
SAN JUAN, PR 00923
Phone number: 787-258-2835
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