Active NPI
Glaymar Dominguez
- Emergency Medicine Physician
- Carolina, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19344
- Practice address
- Ave. 65 de Infanteria, Carr.3, KM 8.3
Hospital de la Upr, Dr. Federico Trilla
Carolina, PR 00985 - Phone
- (787) 757-1800
- Fax
- (787) 750-0930
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19344 | PR | Primary |
Addresses
Primary practice location
Ave. 65 de Infanteria, Carr.3, KM 8.3
Hospital de la Upr, Dr. Federico Trilla
Carolina, PR 00985
Mailing address
PO Box 29207 Dept Medicina de Emergencia
San Juan, PR 00929
Phone (787) 757-1800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19344 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
12922 Sheldon Rd
Tampa, FL 33626
Phone (813) 282-2850
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483228800000",
"number": "1497194674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29207 DEPT MEDICINA DE EMERGENCIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00929",
"telephone_number": "787-757-1800",
"fax_number": "787-750-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. 65 DE INFANTERIA, CARR.3, KM 8.3",
"address_2": "HOSPITAL DE LA UPR, DR. FEDERICO TRILLA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-757-1800",
"fax_number": "787-750-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "GLAYMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2017-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "19344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.