MEDICARE: ALBERTO RAMON DOMINGUEZ

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	183500000X	Pharmacist	30693	TX

General Provider Information

NPI Number	:	1215886130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO RAMON DOMINGUEZ

Provider Business Mailing Address
First Line	:	PO BOX 12098
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-0098
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 12098
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-0098
Country	:	US
Telephone Number	:	915-549-0341
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ ALBERTO RAMON DOMINGUEZ ” Practice Location

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