Lorayne Enriquez Dominguez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11013390 Issued in FL

Practice address

4980 W 10TH Ave
Hialeah, FL 33012-3437

Phone

(305) 534-0076

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD
• Gomez Behavioral Solution, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1285400515
  Medicare reassignment NPD
• Miami Beach Medical Consultants, LLC.

  dba Clinical Care Medical Centers

  • General Practice Physician
  • Miami Beach, FL
  • NPI 1891032819
  Medicare reassignment NPD

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1508376500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE STE 500",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722746",
            "telephone_number": "305-534-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "305-534-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ DOMINGUEZ",
        "first_name": "LORAYNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lee Engelmann, D.C.
• Enjoy Dental, LLC (Best Dentistry Miami)
• Enjoy Services
• Enrique Rosario DPM, Inc.
• David Enriquez Borges, DDS
• Yoleidys Enriquez Pino
• Dayamys Enriquez
• Janet Enriquez
• Jose C Enriquez
• Lazaro Enriquez

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.