Active NPIIndividual providerSole proprietor

Jonathan Domenech

General Practice in Humacao, Puerto Rico

NPI Number1912725888
Practice location
Bo Cotto Mabu, Carr 189 R 922 K0, Humacao, PR 00791
Fax
—
Last updated
September 30, 2024

Jonathan Domenech is a General Practice based in Humacao, PR. Jonathan Domenech practices in Humacao, PR. The NPI Number for Jonathan Domenech is 1912725888 and holds a License No. 24138 (PR). The current practice location address for Jonathan Domenech is Bo Cotto Mabu, Carr 189 R 922 K0, Humacao, PR 00791 and can be reached out via phone at 787-228-0175.

Provider Profile Details

NPI Number
1912725888
Provider Name
Jonathan Domenech
Provider Entity Type
Individual
Gender
Male
Address
Bo Cotto Mabu, Carr 189 R 922 K0, Humacao, PR 00791
Phone Number
787-228-0175
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2024
Last Update Date
September 30, 2024
Certification Date
August 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bo Cotto Mabu, Carr 189 R 922 K0
Humacao, PR 00791
Zip
00791
Phone Number
787-228-0175
Humacao, PR 00791Get directions →

Provider Business Mailing Address Details

Address
Hc 1 Box 6216
Las Piedras, PR 00771-9718
City
Las Piedras
State
PR
Zip
00771-9718
Phone Number
787-228-0175

License Information

License Number
24138
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 Jonathan Domenech?

The NPI number of Jonathan Domenech is 1912725888. It was assigned on September 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Jonathan Domenech?

Jonathan Domenech is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 24138.

Where does Jonathan Domenech practice?

The practice location is Bo Cotto Mabu, Carr 189 R 922 K0, Humacao, PR 00791. The office can be reached at 787-228-0175 (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 1912725888 directly on the NPPES registry website.

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