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Contact Information

DOMINGUEZ FAMILY DENTAL, CSP
CALLE SANTIAGO PALMER 24 SUR
N/A
GUAYAMA, PR00784
 Phone: 787-866-3631
 Fax: 787-866-8690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DOMINGUEZ FAMILY DENTAL, CSP

NPI # 1023713740
LBN Legal business name DOMINGUEZ FAMILY DENTAL, CSP
Authorized official IVELISSE DOMINGUEZ REVERON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2023
Last updated 06/15/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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