MEDICARE: SARA DOMINGUEZ MEDICAL INTERPRETER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	10794	WA

General Provider Information

NPI Number	:	1215864889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA DOMINGUEZ MEDICAL INTERPRETER

Provider Business Mailing Address
First Line	:	240 DESERT PASS ST APT 604
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 DESERT PASS ST APT 604
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3622
Country	:	US
Telephone Number	:	206-471-5154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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