Active NPIIndividual providerSole proprietor

Dr. Angel O Roman Dominguez

General Practice in Manati, Puerto Rico

NPI Number1508565847
Practice location
55 Ave Luna, Manati, PR 00674-4819
Fax
—
Last updated
September 29, 2026

Angel Omar Roman Dominguez is a General Practice based in Manati, PR. Angel Omar Roman Dominguez practices in Manati, PR. The NPI Number for Angel Omar Roman Dominguez is 1508565847 and holds a License No. 23633 (PR). The current practice location address for Angel Omar Roman Dominguez is 55 Ave Luna, Manati, PR 00674-4819 and can be reached out via phone at 787-473-1786.

Provider Profile Details

NPI Number
1508565847
Provider Name
Angel Omar Roman Dominguez
Provider Entity Type
Individual
Gender
Male
Address
55 Ave Luna, Manati, PR 00674-4819
Phone Number
787-473-1786
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2023
Last Update Date
September 29, 2026
Certification Date
February 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Ave Luna
Manati, PR 00674-4819
City
Manati
Zip
00674-4819
Phone Number
787-473-1786
Manati, PR 00674Get directions →

Provider Business Mailing Address Details

Address
Po Box 764
Barceloneta, PR 00617-0764
City
Barceloneta
State
PR
Zip
00617-0764
Phone Number
787-473-1786

License Information

License Number
23633
License State
PR
Taxonomy
General Practice · 208D00000X · 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. Angel O Roman Dominguez?

The NPI number of Dr. Angel O Roman Dominguez is 1508565847. It was assigned on February 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Angel O Roman Dominguez?

Dr. Angel O Roman Dominguez is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 23633.

Where does Dr. Angel O Roman Dominguez practice?

The practice location is 55 Ave Luna, Manati, PR 00674-4819. The office can be reached at 787-473-1786 (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 1508565847 directly on the NPPES registry website.

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