Provider Demographics
NPI:1942263181
Name:RODRIGUEZ-CUE, DOMINGO (MD)
Entity Type:Individual
Prefix:
First Name:DOMINGO
Middle Name:
Last Name:RODRIGUEZ-CUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DOMINGO
Other - Middle Name:
Other - Last Name:RODRIGUEZ-CUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2519 AIRPORT BLVD NW
Mailing Address - Street 2:STE D
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-9603
Mailing Address - Country:US
Mailing Address - Phone:252-230-0832
Mailing Address - Fax:888-972-1868
Practice Address - Street 1:2519 AIRPORT BLVD NW
Practice Address - Street 2:STE D
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-9603
Practice Address - Country:US
Practice Address - Phone:252-230-0832
Practice Address - Fax:888-972-1868
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501072207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine