Individual provider Active NPI

Oscar Benitez Dominguez, CBHCMS, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1669706297
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025243 Issued in FL
Practice address
2750 W 68TH St # 127-128
Hialeah, FL 33016-5446
Phone
(305) 558-0765
Fax
(305) 558-0768
NPI assigned
Sep 30, 2009
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Family Nurse Practitioner 363LF0000X APRN11025243 FL Primary

Addresses

Primary practice location

2750 W 68TH St # 127-128
Hialeah, FL 33016-5446

Mailing address

224 NW 20TH St
Homestead, FL 33030-3117
Phone (786) 370-8755

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230626003060 FL Practitioner - Nurse Practitioner 6406214238 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11025243FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince Dec 26, 2024 Accepting new patients
Ocean Health System LLC CurrentSince Sep 8, 2023 Accepting new patients
Miami Behavioral Health Center Inc Social Worker Past Accepting new patients
Dixie Community Care Inc PastSince Dec 9, 2019 Accepting new patients

Locations

7921 Bird Rd
Ste 39
Miami, FL 33155
Phone (786) 310-1570

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

4306 Alton Rd
Fl 3
Miami Beach, FL 33140
Phone (305) 535-3337

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1669706297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NW 20TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303117",
            "telephone_number": "786-370-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST # 127-128",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165446",
            "telephone_number": "305-558-0765",
            "fax_number": "305-558-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ DOMINGUEZ",
        "first_name": "OSCAR",
        "credential": "CBHCMS, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.