Andres Manuel Dorado Nico, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PACN72 Issued in FL

Practice address

974 Old Dixie Hwy Ste a
Homestead, FL 33030-4933

Phone

(305) 845-1655

Fax

(305) 845-1641

NPI assigned

Oct 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1619795143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SW 149TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932796",
            "telephone_number": "786-412-5731",
            "fax_number": "305-274-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 OLD DIXIE HWY STE A",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304933",
            "telephone_number": "305-845-1655",
            "fax_number": "305-845-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 NW 7th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331253226",
            "country_code": "US",
            "telephone_number": "305-274-5319",
            "fax_number": "305-274-5319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9495 SW 72nd St Ste B180",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331735424",
            "country_code": "US",
            "telephone_number": "305-274-5319",
            "fax_number": "305-274-5320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 NW 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361807",
            "country_code": "US",
            "telephone_number": "305-723-9102",
            "fax_number": "305-723-9178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18300 NW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330158200",
            "country_code": "US",
            "telephone_number": "305-290-7722",
            "fax_number": "305-290-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORADO NICO",
        "first_name": "ANDRES",
        "middle_name": "MANUEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-392034",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PACN72",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liz Dominguez
• Narciso Dominguez
• Angela Donis
• Elaine Munoz Donis, RBT
• Joanne Teresa Donnell, A.R.N.P. , PMHNP-BC
• Janny Dorta Gonzalez
• Mildrey Dorta, RBT
• Mileydys Dorta, APRN
• Monica Dos Santos, ARNP
• James P Dougherty, CRPS

• Medical Physician Assistant in Homestead, FL
• Providers in Homestead, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.