Jerry Lorren Dominic, MD(MBBS IN INDIA)

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

University of Miami Miller School of Medicine-Jackson M
1611 NW 12 Avenue
Miami, FL 33136

Phone

(305) 585-1280

Fax

(305) 585-1280

NPI assigned

Jun 3, 2022

Reactivated

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1144969395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE-JACKSON M",
            "address_2": "1611 NW 12 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-1280",
            "fax_number": "305-585-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE-JACKSON M",
            "address_2": "1611 NW 12 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-1280",
            "fax_number": "305-585-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINIC",
        "first_name": "JERRY",
        "middle_name": "LORREN",
        "credential": "MD(MBBS IN INDIA)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "deactivation_date": "2023-03-01",
        "reactivation_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulysan Dominguez
• Yunia Dominguez
• Daniel Domini, MCC, THEOLOGYPHD
• Dominic C Maggio MD PA
• Dominic C. Maggio, MD, LLC
• Dominique Farinas, MSN, FNP-BC, Inc.
• Claudine Dominique
• Johanne Richard Dominique, DNP, APRN, FNP-BC
• Ronette Duverny Dominique, PHARM.D
• Ioana Alexandra Domnaru, MA49003

• Student in an Organized Health Care Education/Training Program in Miami, FL
• Providers in Miami, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.