Dominguez Carrazquillo, Luis Alberto

Dominguez Carrazquillo, Luis Alberto is an sole proprietor health care provider with primary practice located at Calle Palmer Sur #24 , Guayama PR 00784-7610. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dominguez Carrazquillo, Luis Alberto can be contacted via phone (787) 866-3631.

Contact Information

Primary practice address
Calle Palmer Sur #24 Guayama PR 00784-7610
Phone: (787) 866-3631
Fax: (787) 866-8690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1099 Puerto Rico

Profile Details

NPI number 1659379303
LBN Legal business name Dominguez Carrazquillo, Luis Alberto
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659379303 NPPES
Puerto Rico Other 40624 CRUZ AZUL
Puerto Rico Other 1099 CRUZ AZUL
Puerto Rico Other 26016 CRUZ AZUL
Puerto Rico Other 4-1072 CRUZ AZUL
Puerto Rico Other 1099 CRUZ AZUL
Puerto Rico Other 6540025 CRUZ AZUL
Puerto Rico Other 8634 CRUZ AZUL

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