Individual provider Active NPI

Anthony Virgilio Romano Dominguez, FNP

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1083404396
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11047025 Issued in FL
Practice address
701 NW 13TH St
Boca Raton, FL 33486-2305
Phone
(561) 940-0538
Fax
(561) 955-2730
NPI assigned
May 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11047025 FL Primary

Addresses

Primary practice location

701 NW 13TH St
Boca Raton, FL 33486-2305

Mailing address

701 NW 13TH St
Boca Raton, FL 33486-2305
Phone (561) 940-0538

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710004032 PR Practitioner - Nurse Practitioner 3274048178 Practice locations: Juncos, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5753PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
PR Oncology LLC CurrentSince May 11, 2025 Accepting new patients

Locations

97 Ave de Diego
San Juan, PR 00927
Phone (787) 919-7919

97 Ave de Diego
#943
San Juan, PR 00927

Organizations & group practices 1

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": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1083404396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-940-0538",
            "fax_number": "561-955-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-940-0538",
            "fax_number": "561-955-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO DOMINGUEZ",
        "first_name": "ANTHONY",
        "middle_name": "VIRGILIO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11047025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.