Individual provider Active NPI

Adamaris Domenech

  • Nurse Practitioner
  • Doral, FL
National Provider Identifier
1417661398
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11004404 Issued in FL
Practice address
10544 NW 26TH St Ste E204
Doral, FL 33172-2160
Phone
(786) 281-0753
NPI assigned
Jan 5, 2023
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11004404 FL Primary
Gerontology Nurse Practitioner 363LG0600X APRN11004404 FL

Addresses

Primary practice location

10544 NW 26TH St Ste E204
Doral, FL 33172-2160

Mailing address

9540 SW 28TH St
Miami, FL 33165-3014
Phone (786) 281-0753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004404FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Medical Center LLC CurrentSince May 1, 2023 Accepting new patients

Locations

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

860 NW 42nd Ave
Ste 101
Miami, FL 33126
Phone 3059461526 ext. 61526

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Interoperability endpoints

  • Direct secure messaging: adamaris.domenech@univ.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1417661398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 SW 28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653014",
            "telephone_number": "786-281-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 NW 26TH ST STE E204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722160",
            "telephone_number": "786-281-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH",
        "first_name": "ADAMARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11004404",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11004404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.