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Contact Information

IVAN DOMINGUEZ, MD
680 N UNIVERSITY DR
PEMBROKE PINES, FL33024
 Phone: 954-981-2555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IVAN DOMINGUEZ · (Male)

NPI # 1609256072
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2015
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME134038
Hospital affiliation(s)
  • MEMORIAL HOSPITAL PEMBROKE - (Acute Care)
    7800 SHERIDAN ST
    PEMBROKE PINES, FL 33024
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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