Active NPI
Victor A Dominguez Sierra, DC
- Chiropractor
- Humacao, PR
National Provider Identifier
1053444034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 246
- Practice address
- Villa Universitaria
Calle 13 BC 12
Humacao, PR 00791 - Phone
- (787) 412-1335
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 246 | PR | Primary |
Addresses
Primary practice location
Villa Universitaria
Calle 13 BC 12
Humacao, PR 00791
Mailing address
108 Diamante
Paseo Santa Barbara
Gurabo, PR 00778
Phone (787) 412-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246 | PR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053444034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DIAMANTE",
"address_2": "PASEO SANTA BARBARA",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-412-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLA UNIVERSITARIA",
"address_2": "CALLE 13 BC 12",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-412-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ SIERRA",
"first_name": "VICTOR",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.