Organization Active NPI

Zeta Nova Corp

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1942121108
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ZETA NOVA CORP
Practice address
10250 SW 56TH St Ste B203
Miami, FL 33165-7095
Phone
(305) 364-5392
Fax
(305) 675-8414
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Sandra Dominguez
Title
Preseident
Phone
(305) 364-5392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10250 SW 56TH St Ste B203
Miami, FL 33165-7095

Mailing address

10250 SW 56TH St Ste B203
Miami, FL 33165-7095
Phone (305) 364-5392

National Provider Directory

National Provider Directory

Locations

10250 SW 56th St
Ste B203
Miami, FL 33165
Phone (305) 274-7065

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1942121108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE B203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657095",
            "telephone_number": "305-364-5392",
            "fax_number": "305-675-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE B203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657095",
            "telephone_number": "305-364-5392",
            "fax_number": "305-675-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZETA NOVA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "305-364-5392"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 Jul 23, 2026; 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.