Gretel Dulce Dominguez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11024150 Issued in FL

Practice address

860 NW 42ND Ave Ste 101
Miami, FL 33126-4174

Phone

(305) 946-1526

Fax

(877) 550-1853

NPI assigned

Oct 6, 2020

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Univida Medical Center LLC

  • General Practice Physician
  • West Miami, FL
  • NPI 1487321774
  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1972100600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264172",
            "telephone_number": "305-204-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 NW 42ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264174",
            "telephone_number": "305-946-1526",
            "fax_number": "877-550-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "GRETEL",
        "middle_name": "DULCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024150",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9466386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Maria Dominguez, MSW LCSW
• Eddy Dominguez, M.A.
• Elliot Dominguez
• Erica C. Dominguez
• Estela M. Dominguez, BS
• Gretell Dominguez Sr.
• Hilda Margarita Dominguez, ARNP
• Iliana Dominguez
• Ingrid Dominguez, MSOT, OTR/L
• Ivani Dominguez

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.