Provider Demographics
NPI:1629141437
Name:DOMINGUEZ-CAY, VICTOR ANTONIO (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:ANTONIO
Last Name:DOMINGUEZ-CAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CORREO VILLA #181
Mailing Address - Street 2:AVE. TEJAS AA-2
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-850-4420
Mailing Address - Fax:787-850-2504
Practice Address - Street 1:VILLA UNIVERSITARIA CALLE 13 BC12
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-850-4420
Practice Address - Fax:787-850-2504
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR68288OtherSSS
PR660638431OtherCIGNA
PR83401OtherCFSE
PRP-696OtherIMC
PR100289OtherCRUZ AZUL
PR50166OtherPREFERRED MEDICARE CHOICE
PR660638431OtherOPTION HEALTH CARE
PR233078OtherPREFERRED HEALTH
PR660638431OtherMCS
PR660638431Other1ST PLUS
PR660638431OtherMCS CLASSIC CARE