Carl Dominguez, C.C.P.

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

License

PF0237 Issued in TX

Practice address

24165 Ih-10 West, Ste 217
PMB 461
San Antonio, TX 78257-1160

Phone

(210) 857-3566

Fax

(210) 877-9003

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184760720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH-10 WEST, STE 217",
            "address_2": "PMB 461",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-857-3566",
            "fax_number": "210-877-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 IH-10 WEST, STE 217",
            "address_2": "PMB 461",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-857-3566",
            "fax_number": "210-877-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CARL",
        "credential": "C.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "TX",
            "license": "PF0237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lolita Magtoto Domingo
• Olivia Dominguez-Perez, OTR
• Aurora Dominguez, OTR/L
• Aurora Dominguez, M.D.
• Brandon Alexis Dominguez
• Carrie Marie Dominguez
• Catarina Dominguez
• Christian Noel Dominguez, LPC
• Claudia Selina Dominguez, PT, DPT
• Criselda Dominguez, RN

• Cardiovascular Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Cardiovascular Specialist/Technologist in Texas

• 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.

Verify at the official NPI Registry.