NPIMap

Organization Active NPI

Dominguez Community Center Corp.

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1366953895
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DOMINGUEZ COMMUNITY CENTER CORP.
Practice address
13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334
Phone
(786) 478-6369
Fax
(786) 429-1704
NPI assigned
Oct 24, 2017
Organization subpart
Yes
Parent organization
DOMINGUEZ COMMUNITY CENTER CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Adannys Dominguez
Title
Owner
Phone
(305) 744-4525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

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

Other identifiers 1

IdentifierTypeStateIssuer
022727100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716003465 FL Part B Supplier - Clinic/Group Practice 7113252909 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL

National Provider Directory

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

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1366953895",
    "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",
            "fax_number": "786-429-1704"
        },
        {
            "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",
            "fax_number": "786-429-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ COMMUNITY CENTER CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOMINGUEZ COMMUNITY CENTER CORP.",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "ADANNYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-744-4525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022727100",
            "state": "FL"
        }
    ],
    "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 Aug 18, 2026; 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.