Ricardo Dominguez, Md, Pa.

NPI #1598786634 in Hialeah, Florida

Provider Information

NPI Number: 1598786634
Entity Type: Organization
Organization Name: Ricardo Dominguez, Md, Pa.
Primary Specialty: General Practice
Enumeration Date: Jul 22, 2006
Last Updated: Oct 21, 2009

Practice Location

Address: 777 E 25TH ST
Address 2: SUITE 303
City: Hialeah
State: Florida
ZIP Code: 33013-3825
Phone: (305) 693-7412

Authorized Official

Name: DR. RICARDO DOMINGUEZ, M.D
Title: PRESIDENT
Phone: (305) 693-7412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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