Doral Breast Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DORAL BREAST CENTER, LLC

Practice address

8353 NW 36TH St
Doral, FL 33166-6615

Phone

(786) 900-5550

Fax

(888) 737-9799

NPI assigned

Dec 9, 2014

Last updated

Mar 11, 2015By 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

Leonardo J Henriquez, MD

Title

President

Phone

(786) 900-5550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1568860369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 NW 36TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666615",
            "telephone_number": "786-900-5550",
            "fax_number": "888-737-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 NW 36TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666615",
            "telephone_number": "786-900-5550",
            "fax_number": "888-737-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL BREAST CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-900-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rigoberto Dominguez
• Talisa Bianca Dominguez
• Yudania Dominguez, PHARM. D.
• Romy Gretel Dorado
• Doral 25 Medical Supply Inc
• Doral Cancer Institute LLC
• Doral Cardiology, Inc.,
• Doral Center for Neuropsych Research LLC
• Doral Center for Sleep Disorder LLC
• Doral Center for Sleep Disorder LLC

• General Practice Physician in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.