Individual provider Active NPI

Renato Carlos Dominguez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1851408538
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 96462 Issued in FL
Practice address
285 NW 27TH Ave Ste 14
Miami, FL 33125-5133
Phone
(305) 642-4444
Fax
(305) 642-4499
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15709 PR
Internal Medicine Physician 207R00000X ME 96462 FL Primary

Addresses

Primary practice location

285 NW 27TH Ave Ste 14
Miami, FL 33125-5133

Mailing address

285 NW 27TH Ave Ste 14
Miami, FL 33125-5133
Phone (305) 642-4444

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000566 FL Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal Medicine 5092895813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Real Family Medical Center LLCGroup PAC ID 8426283243, 2 clinicians

Practice addresses (Care Compare)

5520 SW 8TH St
Coral Gables, FL 33134-2220
Phone (305) 642-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 96462FLMDInternal Medicine Physician
15709PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A&P Medical Center Inc Past Accepting new patients
Dynasty Care Medical Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wghrdomin@yourcarecommunity.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1851408538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NW 27TH AVE STE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255133",
            "telephone_number": "305-642-4444",
            "fax_number": "305-642-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NW 27TH AVE STE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255133",
            "telephone_number": "305-642-4444",
            "fax_number": "305-642-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "RENATO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15709",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 96462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.