JUAN ANTONIO DOMINGUEZ

DORAL, FL
NPI1730827122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
JUAN ANTONIO DOMINGUEZ CBHCM
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
Mailing Address
JUAN ANTONIO DOMINGUEZ CBHCM
8601 SW 94TH ST APT 110W
MIAMI, FL 33156-7364
Phone number: 786-641-0039