Jose C Dominguez MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME12573 Issued in FL

Legal business name

JOSE C DOMINGUEZ MD PA

Practice address

4600 N Habana Ave
Suite 20
Tampa, FL 33614-7123

Phone

(813) 877-9449

Fax

(813) 877-9502

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jose Carlos Dominguez Sr., M.D.

Title

President

Phone

(813) 877-9449

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jose C Dominguez MD PA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfredo J Fernandez, M.D.

  • General Practice Physician
  • Tampa, FL
  • NPI 1912252107
  NPD (past)

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1073842084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE",
            "address_2": "SUITE 20",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147123",
            "telephone_number": "813-877-9449",
            "fax_number": "813-877-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE",
            "address_2": "SUITE 20",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147123",
            "telephone_number": "813-877-9449",
            "fax_number": "813-877-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE C DOMINGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-877-9449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME12573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043180000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jose C Dominguez MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merrilee Jorn, ATR-BC
• Waldy Naelle Jorvelus
• Jory D Williams M D P a
• Jose a Quimbayo M D P a
• Jose Antonio Sanchez MD
• Jose Cura Jr MD P a
• Jose Cura, Jr., M.D.
• Jose E Alvarez MD PA
• Jose Gonzalez-Soto, Psychiatric Mental Health Nurse Practitioner, PLLC
• Jose Ignacio Lopez, MD., PA

• Cardiovascular Disease Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.