IndividualActive
Ivan Dominguez, MD
NPI 1104070705 · Vascular Surgery Physician · San Juan, PR
Provider details
- NPI number
- 1104070705
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 265300 (NY)
Practice location
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2199
Phone: (787) 727-6060
Mailing address
Po Box 11137
San Juan, PR 00910-2237
Registry dates
- Enumerated
- 2008-11-10
- Last updated
- 2019-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.