Dr Ivan Dominguez, MD - Medicare Vascular Surgery in San Juan, PR

Dr Ivan Dominguez, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in San Juan, Puerto Rico. He went to Ponce School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Metro Santurce Inc and his current practice location is 1462 Calle Prof Augusto Rodriguez, San Juan, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 727-6060.

Dr Ivan Dominguez is licensed to practice in Puerto Rico (license number 021391) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104070705.

Contact Information

Dr Ivan Dominguez, MD
1462 Calle Prof Augusto Rodriguez,
San Juan, PR 00909-2199
(787) 727-6060
Not Available



Physician's Profile

Full NameDr Ivan Dominguez
GenderMale
SpecialityVascular Surgery
Experience20 Years
Location1462 Calle Prof Augusto Rodriguez, San Juan, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ivan Dominguez attended and graduated from Ponce School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1104070705
  • Provider Enumeration Date: 11/10/2008
  • Last Update Date: 12/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810143641
  • Enrollment ID: I20200513000249

Medical Identifiers

Medical identifiers for Dr Ivan Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104070705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 265300 (New York)Secondary
2086S0129XSurgery - Vascular Surgery 021391 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospital Pavia SanturceFernandez juncos, PRHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metro Santurce Inc76189731245

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ivan Dominguez allows following entities to bill medicare on his behalf.
Entity NameMetro Santurce Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467417865
PECOS PAC ID: 7618973124
Enrollment ID: O20151015000550

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ivan Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ivan Dominguez, MD
Po Box 11137,
San Juan, PR 00910-2237

Ph: (787) 641-1616
Dr Ivan Dominguez, MD
1462 Calle Prof Augusto Rodriguez,
San Juan, PR 00909-2199

Ph: (787) 727-6060

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Surgery Doctors in San Juan, PR

Mr. Roberto Luis Nevares, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 29 Washington St, Ste 203, San Juan, PR 00907
Phone: 787-722-6220    Fax: 787-722-4950
Dr. Hiram Rafael Soler, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 735 Ave Ponce De Leon, Toeer Del Auxilio Suite 709, San Juan, PR 00917
Phone: 787-296-0540    Fax: 787-296-0544
Francisco A. Batlle Batlle, M.D. F.A.C.S.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Torre San Francisco Suite 610, Avenida De Diego Num 369, San Juan, PR 00923
Phone: 787-771-4595    Fax: 787-771-0042
Jose S. Reyes Torres,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 400 Ave Fd Roosevelt, Ste 202, San Juan, PR 00918
Phone: 787-621-3700    
Dr. Rafael Pichardo, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1669 Calle Orinoco, Urb El Cerezal, San Juan, PR 00926
Phone: 787-777-3535    
Dr. Juan J Diaz Hernandez, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 29 Calle Washington, Ashford Medical Center Ste 505, San Juan, PR 00907
Phone: 787-596-7878    Fax: 787-721-2204

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