Dr Ivan Dominguez, MD | |
1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199 | |
(787) 727-6060 | |
Not Available |
Full Name | Dr Ivan Dominguez |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 20 Years |
Location | 1462 Calle Prof Augusto Rodriguez, San Juan, Puerto Rico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104070705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 265300 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 021391 (Puerto Rico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospital Pavia Santurce | Fernandez juncos, PR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro Santurce Inc | 7618973124 | 4 |
Entity Name | Metro Santurce Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467417865 PECOS PAC ID: 7618973124 Enrollment ID: O20151015000550 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivan Dominguez, MD Po Box 11137, San Juan, PR 00910-2237 Ph: (787) 641-1616 | Dr Ivan Dominguez, MD 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199 Ph: (787) 727-6060 |
Mr. Roberto Luis Nevares, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 29 Washington St, Ste 203, San Juan, PR 00907 Phone: 787-722-6220 Fax: 787-722-4950 | |
Dr. Hiram Rafael Soler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 735 Ave Ponce De Leon, Toeer Del Auxilio Suite 709, San Juan, PR 00917 Phone: 787-296-0540 Fax: 787-296-0544 | |
Francisco A. Batlle Batlle, M.D. F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: Torre San Francisco Suite 610, Avenida De Diego Num 369, San Juan, PR 00923 Phone: 787-771-4595 Fax: 787-771-0042 | |
Jose S. Reyes Torres, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Ave Fd Roosevelt, Ste 202, San Juan, PR 00918 Phone: 787-621-3700 | |
Dr. Rafael Pichardo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1669 Calle Orinoco, Urb El Cerezal, San Juan, PR 00926 Phone: 787-777-3535 | |
Dr. Juan J Diaz Hernandez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 Calle Washington, Ashford Medical Center Ste 505, San Juan, PR 00907 Phone: 787-596-7878 Fax: 787-721-2204 |