Active NPI
Alberto Dominguez-Bali Mdpa
- Obstetrics & Gynecology Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME79533
- Legal business name
- ALBERTO DOMINGUEZ-BALI MDPA
- Practice address
- 777 E 25TH St
Suite 203
Hialeah, FL 33013-3825 - Phone
- (305) 693-3535
- Fax
- (305) 693-3565
- NPI assigned
- Feb 22, 2011
- 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
- Dr. Alberto Dominguez-Bali, MD
- Title
- Owner
- Phone
- (305) 693-3535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME79533 | FL | Primary |
Addresses
Primary practice location
777 E 25TH St
Suite 203
Hialeah, FL 33013-3825
Mailing address
777 E 25TH St
Suite 203
Hialeah, FL 33013-3825
Phone (305) 693-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260195800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110921000831 | FL | Part B Supplier - Clinic/Group Practice | 5193996205 |
Receives reassigned benefits from 1 practitioner Practice locations: Hialeah, FL; Miami, FL |
National Provider Directory
National Provider DirectoryLocations
777 E 25th St
Ste 203
Hialeah, FL 33013
Phone (305) 691-2322
11760 SW 40th St
Ste 323
Miami, FL 33175
Phone (305) 220-7771
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Hialeah, FL
- NPI 1457463010
FL, Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298332800000",
"number": "1225335698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 203",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133825",
"telephone_number": "305-693-3535",
"fax_number": "305-693-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 203",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133825",
"telephone_number": "305-693-3535",
"fax_number": "305-693-3565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTO DOMINGUEZ-BALI MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ-BALI",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-693-3535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME79533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260195800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.