Dominguez Baute Corp

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DOMINGUEZ BAUTE CORP

Practice address

14707 S Dixie Hwy Ste 201
Miami, FL 33176-7950

Phone

(786) 250-3475

Fax

(786) 364-7348

NPI assigned

Jun 9, 2020

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ileana Dominguez Baute, APRNNPI 1659907178

Title

President

Phone

(786) 419-0994

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ileana Dominguez Baute, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1659907178
  Medicare reassignment Authorized official
• Alexandra Ana Benitez Lara

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmetto Bay, FL
  • NPI 1477483246
  NPD
• Shirley Franco, PSY.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1467173252
  NPD (past)
• Mario Alberto Jimenez, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1225353766
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1518582295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 S DIXIE HWY STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767950",
            "telephone_number": "786-250-3475",
            "fax_number": "786-364-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 S DIXIE HWY STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767950",
            "telephone_number": "786-250-3475",
            "fax_number": "786-364-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ BAUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ BAUTE",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-419-0994",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14707 South Dixie Highway, Palmetto Bay, FL, 33176",
            "address_2": "suite 201",
            "city": "PALMETTO BAY",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marianela Dominguez Anaya
• Sergio Alberto Dominguez Arencibia
• Maria Julia Dominguez Azcuy, RBT-23-293399
• Alessandra Maria Dominguez Baro
• Mauricio Lot Dominguez Baro
• Ileana Dominguez Baute, PMHNP
• Ismael Dominguez Bazart
• Lisandra Dominguez Benitez
• Marice Dominguez Bernal
• Genny Dominguez Betancourt

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.