DR. LUIS ALBERTO DOMINGUEZ CARRAZQUILLO DDS NPI 1659379303

NPI Information

  • NPI: 1659379303
  • Provider Name: DR. LUIS ALBERTO DOMINGUEZ CARRAZQUILLO, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: CALLE PALMER SUR #24
    GUAYAMA, PR
    ZIP 00784
  • Phone: (787) 866-3631

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NPI Details

DR. Luis Alberto Dominguez Carrazquillo, DDS is a general practice dentist in Guayama, PR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Luis Alberto Dominguez Carrazquillo, DDS NPI is 1659379303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CALLE PALMER SUR #24
GUAYAMA, PR
ZIP 00784-610
Phone: (787) 866-3631
Fax: (787) 866-8690

The NPI 1659379303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1099PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11099OTHERPUERTO RICOUIA
21099OTHERPUERTO RICOMENONITA
38634OTHERPUERTO RICOIMC
46540025OTHERPUERTO RICOHUMANA
526016OTHERPUERTO RICOAMERICAN HEALTH
640624OTHERPUERTO RICOCRUZ AZUL
74-1072OTHERPUERTO RICOTRIPLE SSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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