MRS. JACQUELINE DOMINGUEZ (NPI# 1598135758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598135758 |
Entity Type | Individual |
Full Name | MRS. JACQUELINE DOMINGUEZ |
Credential | ARNP |
Practice Address |
15955 Sw 96th St Suite 200 Miami FL 33196-1271 |
Mailing Address |
7834 W 16th Ct Hialeah FL 33014-3254 |
Practice Telephone | 7864673140 |
Mailing Telephone | 7864494664 |
Enumeration Date | 2015-09-30 |
Last Update Date | 2016-01-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9309553 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
15955 SW 96TH ST SUITE 200 |
City | MIAMI |
State | FL |
Zip Code | 33196-1271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528052388 | Agustin Javier Arrieta | Otolaryngology | 15955 Sw 96th St, Suite 303, Miami, FL 33196-1271 | 2005-09-08 |
1811423858 | Nicole Ross | Family Medicine | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2017-05-11 |
1801269402 | Jose Alejandro Pazos-perez | Physician Assistant | 15955 Sw 96th St, Suite 102, Miami, FL 33196-1271 | 2015-11-04 |
1497126387 | Francis Wamamera Walwema | Nurse Practitioner | 15955 Sw 96th St, Suite #406a, Miami, FL 33196-1271 | 2015-10-17 |
1902281637 | Denisys Tunez | Nurse Practitioner | 15955 Sw 96th St, Suite 306, Miami, FL 33196-1271 | 2015-07-23 |
1730575556 | Gabriel Raul Suarez | Family Medicine | 15955 Sw 96th St, Suite 205, Miami, FL 33196 | 2015-04-08 |
1497152730 | Susana Placencia | Specialist/Technologist | 15955 Sw 96th St, Miami, FL 33196-1271 | 2014-12-02 |
1376898015 | Grey Dog IIi, Inc | Pharmacy | 15955 Sw 96th St, Suite 105, Miami, FL 33196-1271 | 2012-07-18 |
1124388954 | Danielle Pech Carson | Registered Nurse | 15955 Sw 96th St, Suite 102, Miami, FL 33196-1271 | 2012-05-27 |
1649508342 | Tatiana Perez Ivan | Family Medicine | 15955 Sw 96th St, Miami, FL 33196-1271 | 2009-11-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497367825 | Lian Linares Izquierdo | Behavior Technician | 11571 Sw 110th Ter, Miami, FL 33196 | 2020-08-18 |
1780208827 | Ohama Fuster | Assistant Behavior Analyst | 15560sw 111ter., Miami, FL 33196 | 2020-06-04 |
1346870516 | Belkis Leonor Rodriguez | Assistant Behavior Analyst | 9798 Sw 147 Pl, Miami, FL 33196 | 2020-01-16 |
1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
1457824823 | Kelsie Marie Riveron | Student in an Organized Health Care Education/Training Program | 16461 Sw 99 St, Miami, FL 33196 | 2019-01-08 |
1629545330 | Irene Roldan | Nurse Practitioner | 15971 Sw 138 Ter, Miami, FL 33196 | 2018-10-31 |
1114414240 | Daniel Gil De Lamadrid | Student in an Organized Health Care Education/Training Program | 15955 Sw 96 Street, Suite 200, Miami, FL 33196 | 2018-04-14 |
1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
1174027247 | Juntos Behavioral & Mental Benefits Corp. | Behavioral Analyst | 9532 Sw 167th Ave, Miami, FL 33196 | 2018-03-22 |
1487165239 | Medhealth Billing Services LLC | Contractor | 14790 N Kendall Dr. #961595, Miami, FL 33196 | 2017-10-19 |
Find all providers in zip 33196 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
1912508193 | Tania Maria Franco | Nurse Practitioner | 848 Ne 81st St, Miami, FL 33138-4630 | 2020-11-04 |
1578164794 | Kathryn Elizabeth Watson | Nurse Practitioner | 8000 Sw 96th St, Miami, FL 33156-7422 | 2020-11-04 |
1316548811 | Fernando Andres Aguilera | Nurse Practitioner | 3100 Sw 62nd Ave # 124, Miami, FL 33155-3009 | 2020-11-03 |
1396346995 | Lauren Vine Redondo | Nurse Practitioner | 7648 Sw 105th Pl, Miami, FL 33173-2931 | 2020-11-02 |
1104426766 | Yosen Rodriguez Jimenez | Nurse Practitioner | 2380 Sw 131st Ct, Miami, FL 33175-1157 | 2020-10-31 |
1871193755 | Yolanda Justal | Nurse Practitioner | 325 Nw 108th Ter, Miami, FL 33168-3230 | 2020-10-29 |
1467051003 | Raiseline De La Caridad Casanova Mederos | Nurse Practitioner | 120 Nw 49th St, Miami, FL 33127-2109 | 2020-10-24 |
1518566132 | Mileydis Curbelo | Nurse Practitioner | 15285 Sw 88th Ter, Miami, FL 33196-1462 | 2020-10-23 |
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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.