Doctor Name: | DR. ANGELINA DOMINGUEZ SUAREZ |
NPI Number: | 1942305909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 8854 |
Business Practice Address: | 28 Calle Munoz Rivera W Rincon, PR - 006772127 |
Business Phone Number: | 7878235555 |
Business Fax Number: | 7878232390 |
Mailing Address: | Po Box 638, RINCON |
State: | PR |
Postal Code: | 006770638 |
Phone Number: | 7878235555 |
Fax Number: | 7878232390 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |