Active NPI
Rigoberto Dominguez
- Rehabilitation Chiropractor
- Doral, FL
National Provider Identifier
1356612246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MM28393
- Practice address
- 3900 NW 79TH Ave
Suite 820
Doral, FL 33166-6556 - Phone
- (305) 463-7797
- Fax
- (305) 463-7787
- NPI assigned
- Jan 24, 2012
- Last updated
- Jan 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MM28393 | FL | Primary |
Addresses
Primary practice location
3900 NW 79TH Ave
Suite 820
Doral, FL 33166-6556
Mailing address
3900 NW 79TH Ave
Suite 820
Doral, FL 33166-6556
Phone (305) 463-7797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM28393 | FL | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1356612246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE",
"address_2": "SUITE 820",
"city": "DORAL",
"state": "FL",
"postal_code": "331666556",
"telephone_number": "305-463-7797",
"fax_number": "305-463-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 NW 79TH AVE",
"address_2": "SUITE 820",
"city": "DORAL",
"state": "FL",
"postal_code": "331666556",
"telephone_number": "305-463-7797",
"fax_number": "305-463-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "RIGOBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "MM28393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.