Individual provider Active NPI

Elliot Dominguez

  • Registered Respiratory Therapist
  • Miami, FL
National Provider Identifier
1023675618
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT17234 Issued in FL
Practice address
4101 SW 73Rd Ave Unit C
Miami, FL 33155-4520
Phone
(305) 248-1003
Fax
(305) 248-1009
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT17234 FL Primary

Addresses

Primary practice location

4101 SW 73Rd Ave Unit C
Miami, FL 33155-4520

Mailing address

4101 SW 73Rd Ave Unit C
Miami, FL 33155-4520
Phone (305) 248-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT17234FLMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Respiratory Care of South Florida, Inc. CurrentSince May 11, 2025 Accepting new patients
Pediatric Respiratory Care of South Florida, Inc. Respiratory Therapist, Registered CurrentSince Sep 29, 2024 Accepting new patients

Locations

28848 S Dixie Hwy
Homestead, FL 33033
Phone (305) 248-1003

4101 SW 73rd Ave
Unit C
Miami, FL 33155
Phone (305) 248-1003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1023675618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 SW 73RD AVE UNIT C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554520",
            "telephone_number": "305-248-1003",
            "fax_number": "305-248-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 SW 73RD AVE UNIT C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554520",
            "telephone_number": "305-248-1003",
            "fax_number": "305-248-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ELLIOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.