Active NPIIndividual providerSole proprietor

Dr. Ivelisse Dominguez, DMD

Dentist, General Practice in Guayama, Puerto Rico

NPI Number1386098655
Practice location
24 Calle Santiago Palmer Sur, Guayama, PR 00784
Fax
—
Last updated
August 6, 2020

Ivelisse Dominguez is a Dentist, General Practice based in Guayama, PR. Ivelisse Dominguez practices in Guayama, PR and has the professional credentials of DMD. The NPI Number for Ivelisse Dominguez is 1386098655 and holds a License No. 4440604 (PR). The current practice location address for Ivelisse Dominguez is 24 Calle Santiago Palmer Sur, Guayama, PR 00784 and can be reached out via phone at 787-678-7806.

Provider Profile Details

NPI Number
1386098655
Provider Name
Ivelisse Dominguez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
24 Calle Santiago Palmer Sur, Guayama, PR 00784
Phone Number
787-678-7806
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2016
Last Update Date
August 6, 2020
Certification Date
August 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Calle Santiago Palmer Sur
Guayama, PR 00784
Zip
00784
Phone Number
787-678-7806
Guayama, PR 00784Get directions →

Provider Business Mailing Address Details

Address
Po Box 623
Guayama, PR 00785-0623
City
Guayama
State
PR
Zip
00785-0623
Phone Number
787-678-7806

License Information

License Number (2)
4440604
License State (2)
PR
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivelisse Dominguez, DMD?

The NPI number of Dr. Ivelisse Dominguez, DMD is 1386098655. It was assigned on April 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivelisse Dominguez, DMD?

Dr. Ivelisse Dominguez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 4440604.

Where does Dr. Ivelisse Dominguez, DMD practice?

The practice location is 24 Calle Santiago Palmer Sur, Guayama, PR 00784. The office can be reached at 787-678-7806 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386098655 directly on the NPPES registry website.

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