Organization Active NPI

Miami Endocrinology Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1649726167
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MIAMI ENDOCRINOLOGY SPECIALISTS
Practice address
1400 NE Miami Gardens Dr Ste 104
Miami, FL 33179-4843
Phone
(305) 814-8637
Fax
(877) 500-7327
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Anthony Ceniza Domingo, M.D.NPI 1801069893
Title
Physician
Phone
(305) 794-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1400 NE Miami Gardens Dr Ste 104
Miami, FL 33179-4843

Mailing address

7048 W 17TH CT
Hialeah, FL 33014-4419
Phone (305) 794-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170113001948 FL Part B Supplier - Clinic/Group Practice 3870875461 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

1400 NE Miami Gardens Dr
Ste 104
North Miami Beach, FL 33179
Phone (305) 514-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1649726167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 W 17TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144419",
            "telephone_number": "305-794-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794843",
            "telephone_number": "305-814-8637",
            "fax_number": "877-500-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI ENDOCRINOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CENIZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-794-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.