Individual provider · Type 1 NPI

Juan C. Dominguez

Contractor · Mineola, NY

NPI number 1619835642 Active

Practice location

24 Berkley Rd
Mineola, NY 11501-4604

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X204552 (NY)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1619835642

Juan C. Dominguez's National Provider Identifier is 1619835642, issued on Jan 9, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Mineola, NY. The record was last updated on Jan 9, 2026.