Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Mauro Dominguez, LPN

Individual provider Licensed Practical Nurse · NPI 1982122628

Jacob Mauro Dominguez, LPN is a Licensed Practical Nurse in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

223 Brook Ave
Bronx, NY 10454
Phone: (718) 541-5218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 329762 (NY)

Record details

NPI number1982122628
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedSeptember 1, 2017
Last updated in NPPESJuly 21, 2022

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