Provider Demographics
NPI:1952362345
Name:DOMINGUEZ PASCUAL, MARIA S (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:S
Last Name:DOMINGUEZ PASCUAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:CALLE MAR DEL NORTE
Mailing Address - Street 2:CASA #763 PASEOS LOS CORALES II
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0000
Mailing Address - Country:US
Mailing Address - Phone:787-807-8302
Mailing Address - Fax:787-807-7218
Practice Address - Street 1:CARR # 2 KM 39.7
Practice Address - Street 2:URB COLLAZO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-807-8302
Practice Address - Fax:787-807-7218
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2025-06-18
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Provider Licenses
StateLicense IDTaxonomies
PR14458208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR38447201Medicaid
PR84678Medicare ID - Type Unspecified
PR84678Medicaid