CARLOS J. DOMINGUEZ (NPI# 1467440156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467440156 |
| Entity Type | Individual |
| Full Name | CARLOS J. DOMINGUEZ |
| Credential | M.D. |
| Practice Address |
4306 Alton Rd 3rd Floor Miami Beach FL 33140-2840 |
| Practice Telephone | 3055353337 |
| Practice Fax Number | 3055353324 |
| Mailing Telephone | 3055353337 |
| Mailing Fax Number | 3055353324 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME13580 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104864768 | Carlos Lorenzo Dominguez | Internal Medicine | 1857 Providence Blvd, Deltona, FL 32725-3811 | 2006-06-03 |
| 1134101918 | Carlos E. Dominguez | General Practice | 168a Calle Las Flores, Juana Diaz, PR 00795-2532 | 2005-11-16 |
| 1689233751 | Carlos Rafael Dominguez | Behavioral Analyst | 12995 S Cleveland Ave, Fort Myers, FL 33907-3890 | 2019-06-11 |
| 1447771019 | Carlos Rodrigo Dominguez | Student in an Organized Health Care Education/Training Program | 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 | 2017-07-04 |
| 1386079424 | Carlos Dominguez | Nurse Practitioner | 622 W 168th St, Aim Clinic Vc2, New York, NY 10032-3720 | 2013-09-09 |
| 1316249964 | Carlos Daniel Dominguez | Pharmacist | 35 E Palisade Ave, Englewood, NJ 07631-2901 | 2010-12-01 |
| 1548266505 | Carlos Dominguez | Family Medicine | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2005-06-23 |
| Street Address |
4306 ALTON RD 3RD FLOOR |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010020 | Henry Wodnicki | Colon & Rectal Surgery | 4306 Alton Rd, Comprehensive Cancer Center 2nd Floor, Miami Beach, FL 33140-2840 | 2005-08-17 |
| 1275181323 | Stevie Camp | Nurse Practitioner | 4306 Alton Rd, Miami Beach, FL 33140-2840 | 2019-09-02 |
| 1457859720 | Marisol Lilian Ocampo | Nurse Practitioner | 4306 Alton Rd, Miami Beach, FL 33140-2840 | 2018-01-31 |
| 1295070654 | Jenny Blanco | Physician Assistant | 4306 Alton Rd, Ccc 2flr, Miami Beach, FL 33140-2840 | 2012-12-11 |
| 1053622480 | Sumana Narayanan | Surgery | 4306 Alton Rd, Miami Beach, FL 33140 | 2010-06-30 |
| 1831415223 | Lisa Christina Gonzalez-alpizar | Psychologist | 4306 Alton Rd, 3rd Floor, Miami Beach, FL 33140-2840 | 2010-04-12 |
| 1558510511 | Raul Alberto Cortes Ladino | Psychiatry & Neurology | 4306 Alton Rd, Miami Beach, FL 33140-2840 | 2008-09-15 |
| 1205024254 | Kiranmayi Palla Muddasani | Colon & Rectal Surgery | 4306 Alton Rd, Miami Beach, FL 33140-2840 | 2007-10-03 |
| 1952593170 | Ivy Salom | Radiology | 4306 Alton Rd, Miami Beach, FL 33140-2840 | 2007-08-12 |
| 1194916262 | Gynecologic Oncology Associates Inc | Obstetrics & Gynecology | 4306 Alton Rd, Third Floor, Miami Beach, FL 33140-2840 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439435 | Aura Cristina Hansmann | Specialist | 2600 Collins Ave Apt 411, Miami Beach, FL 33140-4711 | 2019-10-27 |
| 1740833987 | Tristar Medical, LLC | Specialist | 400 W 41st St Ste 401, Miami Beach, FL 33140-3516 | 2019-07-17 |
| 1922488675 | Vitality Health & Wellness LLC | Specialist | 801 4th Street, Miami Beach, FL 33139-6823 | 2015-06-08 |
| 1205228780 | Gavin Ravens | Specialist | 540 West Ave Apt 1412, Miami Beach, FL 33139-6782 | 2015-02-20 |
| 1770910119 | Pamela Tasan | Specialist | 1604 Meridian Ave, #11, Miami Beach, FL 33139-2852 | 2013-09-30 |
| 1134414873 | Susan Gauthier | Specialist | 827 84th St, Miami Beach, FL 33141-1105 | 2011-06-10 |
| 1669605333 | Mylene A Moreno | Specialist | 1330 West Ave Apt 1911, Miami Beach, FL 33139-0908 | 2009-08-28 |
| 1114107760 | Jose A Cruz Jr Md Pa | Specialist | 1210 Washington Ave, Suite 220, Miami Beach, FL 33139-4632 | 2007-11-13 |
| 1225229222 | Cheryl B Model | Specialist | 3156 Royal Palm Ave, Miami Beach, FL 33140-3938 | 2007-08-05 |
| 1992825285 | Florida Rehabilitation Services Usa, Inc | Specialist | 90 Alton Rd, Suite # 1902, Miami Beach, FL 33139-6707 | 2007-03-30 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on CARLOS J. DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.