Individual provider Active NPI

Jaun Eduardo Alvarez Dominguez

  • Transportation Broker
  • Doral, FL
National Provider Identifier
1063002103
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Practice address
6750 NW 106TH Ave
Doral, FL 33178
Phone
(786) 961-0348
NPI assigned
Jan 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

6750 NW 106TH Ave
Doral, FL 33178

Mailing address

6750 NW 106TH Ave
6750 NW 106TH Ave
Doral, FL 33178
Phone (786) 961-0348

Other names 1

  • Mr. Sheyson Alfonso Morales Almeida Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1063002103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 NW 106TH AVE",
            "address_2": "6750 NW 106TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-961-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 NW 106TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-961-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ DOMINGUEZ",
        "first_name": "JAUN",
        "middle_name": "EDUARDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEYSON",
            "last_name": "MORALES ALMEIDA",
            "middle_name": "ALFONSO",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.