Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Ivan Dominguez, MD

Vascular Surgery Physician in San Juan, PR · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104070705

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Registry record

Entity type Individual (Type 1)

Name Dr. Ivan Dominguez

Credential MD

Sex Male

Practice address 1462 Calle Prof Augusto Rodriguez, San Juan, PR, 00909

Phone (787) 727-6060

Enumeration date Nov 10, 2008

Last updated in NPPES Dec 20, 2019

Taxonomy & licenses

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 265300 (NY) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 021391 (PR) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Ivan Dominguez practice?

The practice location on file with NPPES is in San Juan, PR. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Ivan Dominguez?

The National Provider Identifier (NPI) for Ivan Dominguez is 1104070705, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-20.