Organization Active NPI

Dominguez Community Center Corp.

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1174378566
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DOMINGUEZ COMMUNITY CENTER CORP.
Practice address
13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334
Phone
(786) 478-6369
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Adannys Dominguez
Title
Ceo
Phone
(305) 744-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334

Mailing address

13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334
Phone (786) 478-6369

National Provider Directory

National Provider Directory
Tax ID family
Dominguez Community Center Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1174378566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 132",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-478-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 132",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-478-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ COMMUNITY CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "ADANNYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-744-4525"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.