CARLOS E DOMINGUEZ

Dr CARLOS E DOMINGUEZ is a male medical professional, specializing in General Practice. He graduated in 1978.

Contact

168 A CALLE LAS FLORES
JUANA DIAZ
PR
007952532

Tel: 7878372642

CARLOS E DOMINGUEZ Information

Npi 1134101918
Pac Id 6709023351
Professional Enrollment Id I20130520000198
Last Name DOMINGUEZ
First Name CARLOS
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 168 A CALLE LAS FLORES
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JUANA DIAZ
State PR
Zip Code 007952532
Phone Number 7878372642
Hospital Affiliation Ccn 1 400113
Hospital Affiliation Lbn 1 HOSPITAL SAN CRISTOBAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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