Doral Cancer Institute LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME121889 Issued in FL

Legal business name

DORAL CANCER INSTITUTE LLC

Practice address

3125 NW 84TH Ave
Doral, FL 33122-1994

Phone

(305) 785-7899

Fax

(786) 410-5180

NPI assigned

Apr 7, 2017

Last updated

Apr 7, 2017By 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

Dr. Samuel A Gonzalez, M.D.

Title

President

Phone

(787) 632-2169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1780117580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S DIXIE HWY",
            "address_2": "STE 161",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462918",
            "telephone_number": "305-785-7899",
            "fax_number": "786-410-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221994",
            "telephone_number": "305-785-7899",
            "fax_number": "786-410-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL CANCER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-632-2169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME121889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Hematology & Oncology Physician in Doral, FL
• Providers in Doral, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.