Active NPI
Dominguez Community Center Corp.
- Physical Therapy Clinic/Center
- Miami, FL
National Provider Identifier
1174378566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Miami, FL
- NPI 1336856749
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1366953895
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.