Individual provider Active NPI

Mileydis Dominguez

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1093251670
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN9294050 Issued in FL
Practice address
15768 SW 145TH Ter
Miami, FL 33196-6726
Phone
(786) 218-2941
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 RN9294050 FL Primary

Addresses

Primary practice location

15768 SW 145TH Ter
Miami, FL 33196-6726

Mailing address

15768 SW 145TH Ter
Miami, FL 33196-6726
Phone (786) 218-2941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201231000277 FL Practitioner - Nurse Practitioner 2163835620 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9294050FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Act Hospitalist LLC CurrentSince Aug 22, 2025 Accepting new patients

Locations

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 609-9033

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1093251670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15768 SW 145TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966726",
            "telephone_number": "786-218-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15768 SW 145TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966726",
            "telephone_number": "786-218-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MILEYDIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9294050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.