Manuel Dominguez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0029578 Issued in FL

Practice address

1540 Washington Ave
Miami Beach, FL 33139-7801

Phone

(305) 532-4122

Fax

(305) 534-9665

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1891831004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397801",
            "telephone_number": "305-532-4122",
            "fax_number": "305-534-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397801",
            "telephone_number": "305-532-4122",
            "fax_number": "305-534-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0029578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040100500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctors Alliance Group
• Doctors Group Miami Beach LLC
• Murat Dogramaci
• Candida Dominguez
• Luis Dominguez, D.O.
• Arturo J Don, LMHC
• Donald B Williams MD PA
• Donald Minervini, M.D., P.a.
• Marissa Donatelle, MD
• Teresa Donovan, COTA

• Internal Medicine Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.