NPIMap

Organization Active NPI

Hospital Dr. Dominguez Inc.

  • Clinical Medical Laboratory
  • Humacao, PR
National Provider Identifier
1669692976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
84 Issued in PR
Legal business name
HOSPITAL DR. DOMINGUEZ INC.
Practice address
Ave Font Martello # 300
Humacao, PR 00792-0699
Phone
(787) 852-0505
Fax
(787) 850-4230
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Miguel Solivan
Title
Administrador
Phone
(787) 852-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 84 PR Primary

Addresses

Primary practice location

Ave Font Martello # 300
Humacao, PR 00792-0699

Mailing address

Font Martello # 300 Ave.
PO Box 699
Humacao, PR 00792-0699
Phone (787) 852-0505

National Provider Directory

National Provider Directory
Tax ID family
Hospital Dr Dominguez3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669692976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FONT MARTELLO # 300 AVE.",
            "address_2": "PO BOX 699",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920699",
            "telephone_number": "787-852-0505",
            "fax_number": "787-850-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FONT MARTELLO # 300",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920699",
            "telephone_number": "787-852-0505",
            "fax_number": "787-850-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DR. DOMINGUEZ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLIVAN",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-852-0505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "84",
            "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 Aug 22, 2020; 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.