CARLOS ALBERTO DOMINGUEZ GONZALEZ
NPI 1104600501
Genetic Counselor, MS in Philadelphia, PA

Active since August 24, 2023
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1719(215) 590-1771 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos Alberto Dominguez Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS ALBERTO DOMINGUEZ GONZALEZ (NPI 1104600501) is an individual genetic counselor, ms provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PGC000165) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1104600501
Entity TypeIndividualMale
Primary Taxonomy170300000X
Provider Legal NameCARLOS ALBERTO DOMINGUEZ GONZALEZ
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-1719 · Fax (215) 590-1771
Fax(215) 590-1771
Sole ProprietorYes
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
NPI 1104600501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License Licensed in PA · PGC000165
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Dominguez Gonzalez's NPI number?

The NPI number for Carlos Dominguez Gonzalez is 1104600501. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Carlos Dominguez Gonzalez located?

Carlos Dominguez Gonzalez practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1719.

What is Carlos Dominguez Gonzalez's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Carlos Dominguez Gonzalez was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.