Individual ProviderYasser Gonzalez DominguezInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4800 Alberta Ave, El Paso, TX 79905-2709(915) 215-8000PECOS EnrollmentBased on the most recent information from CMS, provider Yasser Gonzalez Dominguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316471725Provider TypeIndividualFull NameGonzalez Dominguez, YasserGenderMaleSole ProprietorNoEnumeration Date4/13/2017Last Updated6/17/2020Contact InformationPractice LocationPractice Address4800 Alberta Ave, El Paso, TX 79905-2709Phone(915) 215-8000FaxUnlisted FaxMailing LocationMailing Address4800 Alberta Ave, El Paso, TX 79905-2709PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense143421FloridaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer