Individual provider Active NPI

Lauribel Dominguez-Girona, M.D.

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1043249402
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15091 Issued in PR
Practice address
S11 Calle Castiglioni
Bayamon, PR 00957-2430
Phone
(787) 797-3346
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15091 PR Primary

Addresses

Primary practice location

S11 Calle Castiglioni
Bayamon, PR 00957-2430

Mailing address

178 Calle Colibri
Urb. Los Montes
Dorado, PR 00646-9410
Phone (787) 242-6132

Other practice location 1

178 Calle Colibri
Urb. Los Montes
Dorado, PR 00646-9410
Phone (787) 270-1889

Other identifiers 1

IdentifierTypeStateIssuer
15091OtherPRSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000563 PR Practitioner - Family Practice 2769457175 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Central del Caribe Escuela de Medicina, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

S11 Calle Castiglioni
Bayamon, PR 00957-2430
Phone (787) 797-3346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15091PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1043249402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 CALLE COLIBRI",
            "address_2": "URB. LOS MONTES",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469410",
            "telephone_number": "787-242-6132",
            "fax_number": "787-797-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S11 CALLE CASTIGLIONI",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572430",
            "telephone_number": "787-797-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Calle Colibri",
            "address_2": "Urb. Los Montes",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "006469410",
            "country_code": "US",
            "telephone_number": "787-270-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ-GIRONA",
        "first_name": "LAURIBEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15091",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.