Individual provider · Type 1 NPI

Ivan Dominguez, MD

Vascular Surgery Physician · San Juan, PR

NPI number 1104070705 Active

Practice location

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2199

Call (787) 727-6060 Map

Mailing address

PO Box 11137
San Juan, PR 00910-2237

Other practice locations

  • 100 High St, Ste A2, Buffalo, NY 14203-1126 · (716) 859-3301

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X265300 (NY)
Vascular Surgery Physician Primary 2086S0129X021391 (PR)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

18 other providers at this address

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About NPI 1104070705

Ivan Dominguez, MD's National Provider Identifier is 1104070705, issued on Nov 10, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in San Juan, PR. The record was last updated on Dec 20, 2019.