Active NPIIndividual providerSole proprietor

Jorge Dominguez, MD

General Practice in San Juan, Puerto Rico

NPI Number1629049432
Practice location
231 Calle Duarte, San Juan, PR 00917-3631
Fax
787-767-5918
Last updated
December 29, 2017

Jorge Dominguez is a General Practice based in San Juan, PR. Jorge Dominguez practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Jorge Dominguez is 1629049432 and holds a License No. 13324 (PR). The current practice location address for Jorge Dominguez is 231 Calle Duarte, San Juan, PR 00917-3631 and can be reached out via phone at 787-773-3250 and via fax at 787-767-5918.

Provider Profile Details

NPI Number
1629049432
Provider Name
Jorge Dominguez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
231 Calle Duarte, San Juan, PR 00917-3631
Phone Number
787-773-3250
Fax Number
787-767-5918
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2006
Last Update Date
December 29, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
231 Calle Duarte
San Juan, PR 00917-3631
Zip
00917-3631
Phone Number
787-773-3250
Fax Number
787-767-5918
San Juan, PR 00917Get directions →

Provider Business Mailing Address Details

Address
Urb. Valencia Calle Toledo #608
San Juan, PR 00923
City
San Juan
State
PR
Zip
00923
Phone Number
787-258-2835

License Information

License Number
13324
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 Jorge Dominguez, MD?

The NPI number of Jorge Dominguez, MD is 1629049432. It was assigned on January 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Jorge Dominguez, MD?

Jorge Dominguez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 13324.

Where does Jorge Dominguez, MD practice?

The practice location is 231 Calle Duarte, San Juan, PR 00917-3631. The office can be reached at 787-773-3250 (phone) or 787-767-5918 (fax).

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 1629049432 directly on the NPPES registry website.

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