Organization Active NPI

Alberto Dominguez-Bali Mdpa

  • Obstetrics & Gynecology Physician
  • Hialeah, FL
National Provider Identifier
1225335698
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME79533 Issued in FL
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

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Alberto Dominguez-Bali, MDNPI 1457463010
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
260195800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.