IVAN DOMINGUEZ MD – NPI #1104070705
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

IVAN DOMINGUEZ is a surgeon located in SAN JUAN, PR. NPPES has assigned the NPI number 1104070705 to IVAN DOMINGUEZ on November 10, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Dec 20, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IVAN DOMINGUEZ below.

NPI Profile for
IVAN DOMINGUEZ

NPI Number
1104070705
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
IVAN DOMINGUEZ
Credentials
MD
Primary location
1462 CALLE PROF AUGUSTO RODRIGUEZ
SAN JUAN, PR 00909-2199
Phone: (787) 727-6060 Fax:
1 Other location(s):
100 High St
Ste A2
Buffalo, NY 14203-1126
Phone: (716) 859-3301
Fax: (716) 859-3398
Mailing address
PO BOX 11137
SAN JUAN, PR 00910-2237
Phone: (787) 641-1616 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 20, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 NY 265300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
none
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1462 CALLE PROF AUGUSTO RODRIGUEZ,
SAN JUAN, PR 77025-1669

Additional Information

Education
PONCE SCHOOL OF MEDICINE - Graduated 2004
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
IVAN DOMINGUEZ is affiliated with the following medical group(s):
  • HOSPITAL
    • HOSPITAL PAVIA SANTURCE
      CALLE PROFESOR AUGUSTO RODRIGUEZ #1462
      FERNANDEZ JUNCOS, PR 00910

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.