Individual provider Active NPI

Marikarla Rodriguez Domingez

  • Technician
  • Cape Coral, FL
National Provider Identifier
1407642408
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
BACB1252623 Issued in FL
Practice address
2124 NE 8TH PL
Cape Coral, FL 33909-4460
Phone
(239) 770-5449
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 374700000X BACB1252623 FL Primary

Addresses

Primary practice location

2124 NE 8TH PL
Cape Coral, FL 33909-4460

Mailing address

2124 NE 8TH PL
Cape Coral, FL 33909-4460
Phone (239) 770-5449

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

LicenseStateTypeSpecialty
BACB1252623FLMDTechnician

Practice roles

OrganizationSpecialtyStatusNew patients
CDW Estates LLC CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1407642408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 NE 8TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094460",
            "telephone_number": "239-770-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 NE 8TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094460",
            "telephone_number": "239-770-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DOMINGEZ",
        "first_name": "MARIKARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": "FL",
            "license": "BACB1252623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.