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NPI Profile for Dr IVAN DOMINGUEZ in SAN JUAN, PR.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1104070705 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 11/10/2008 | |
| Last updated | 12/20/2019 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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IVAN DOMINGUEZ
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IVAN DOMINGUEZ, MD