Active NPI
Carlos Bryan Dominguez, MD
- Geriatric Medicine (Family Medicine) Physician
- Apopka, FL
National Provider Identifier
1033851472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- ME180588
- Practice address
- 1049 W Orange Blossom TRL
Apopka, FL 32712-3482 - Phone
- (407) 884-2952
- Fax
- (407) 884-9352
- NPI assigned
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME180588 | FL | Primary |
Addresses
Primary practice location
1049 W Orange Blossom TRL
Apopka, FL 32712-3482
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carlos.dominguez.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1033851472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "844-630-0700",
"fax_number": "877-374-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 W ORANGE BLOSSOM TRL",
"city": "APOPKA",
"state": "FL",
"postal_code": "327123482",
"telephone_number": "407-884-2952",
"fax_number": "407-884-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "CARLOS",
"middle_name": "BRYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME180588",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carlos.dominguez.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1049 W Orange Blossom Trl",
"city": "Apopka",
"state": "FL",
"country_code": "US",
"postal_code": "327123482",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.