Individual provider Active NPI

Patricia Eugenia Flores Dominguez, M.D.

  • Internal Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1497130108
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME136086 Issued in FL
Practice address
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone
(407) 647-2346
NPI assigned
Jul 23, 2015
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME136086 FL Primary

Addresses

Primary practice location

525 Technology Park Ste 109
Lake Mary, FL 32746-7107

Mailing address

663 Locust St Apt 2D
Mount Vernon, NY 10552-2637
Phone (347) 419-1198

Other practice location 1

4422 Third Ave Mills bldg 3
Dept of Internal Medicine
Bronx, NY 10457
Phone (718) 960-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328000891 FL Practitioner - Internal Medicine 7517207517 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone (407) 445-9545

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME136086FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Oct 7, 2018 Accepting new patients
Orlando Inpatient Medicine, PA Internal Medicine CurrentSince Jan 14, 2026 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

601 E Rollins St
Ste 400
Orlando, FL 32803
Phone (407) 228-6573

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1497130108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 LOCUST ST APT 2D",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522637",
            "telephone_number": "347-419-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107",
            "telephone_number": "407-647-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 Third Ave Mills bldg 3",
            "address_2": "Dept of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-960-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES DOMINGUEZ",
        "first_name": "PATRICIA",
        "middle_name": "EUGENIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.