KENIA DOMINGUEZ (NPI# 1669649273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669649273 |
| Entity Type | Individual |
| Full Name | KENIA DOMINGUEZ |
| Credential | MD |
| Practice Address |
1611 Nw 12 Ave Jackson Memorial Hospital Holtz Building Miami FL 33136 |
| Mailing Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423 |
| Practice Telephone | 3055856042 |
| Mailing Telephone | 3056611515 |
| Mailing Fax Number | 3056623723 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
ME107085 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865978 | Kenia Dominguez | Technician | 4391 S Pearl St, Las Vegas, NV 89121-5009 | 2018-09-24 |
| 1528527330 | Kenia Dominguez | Behavior Technician | 39210 State St Ste 220, Fremont, CA 94538-1456 | 2019-03-19 |
| Street Address |
1611 NW 12 AVE JACKSON MEMORIAL HOSPITAL HOLTZ BUILDING |
| City | MIAMI |
| State | FL |
| Zip Code | 33136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164447371 | David Dean Woolsey | Internal Medicine | 1611 Nw 12 Ave, Jackson Memorial Hospital, Miami, FL 33136 | 2006-07-12 |
| 1649833153 | Madhu Oad | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Ave, Miami, FL 33136 | 2019-04-19 |
| 1659860294 | Juan David Salcedo Betancourt | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Ave, Miami, FL 33136 | 2018-05-09 |
| 1780172692 | Edgar Eugenio Acuna Morin | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Ave, Miami, FL 33136 | 2018-04-26 |
| 1225569619 | Francisco M Guerra Jr. | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Ave, Miami, FL 33136 | 2017-03-27 |
| 1558747212 | Shada Aljishi | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Ave, Miami, FL 33136 | 2015-08-05 |
| 1306132303 | German Campuzano Zuluaga | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Ave, Miami, FL 33136 | 2011-06-28 |
| 1598916132 | Karen S. Beck | Nurse Practitioner | 1611 Nw 12 Ave, Miami, FL 33136 | 2008-10-01 |
| 1467608398 | Karen Helen Chamuel | Nurse Practitioner | 1611 Nw 12 Ave, Miami, FL 33133 | 2008-08-12 |
| 1124230032 | Rosa Lamelas Riquenes | Speech-Language Pathologist | 1611 Nw 12 Ave, Miami, FL 33136 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1013398320 | Claudia Puerto | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2015-06-11 |
| 1447697644 | Ronald A Vasquez | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-05-29 |
| 1942598925 | Friedrich Tim Drescher | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2011-07-12 |
| 1972894053 | Ellie Rakovchik | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2011-04-25 |
| 1144519711 | Carolina Mendoza | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2011-04-04 |
| 1437460409 | Eva Magdalena Wojewoda | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2010-06-24 |
| 1407178254 | Laura Umbrello | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2010-02-22 |
| 1124353123 | Brent D Rogers | Pediatrics | 1611 Nw 12th Ave, Jackson Memorial Hospital, Miami, FL 33136-1005 | 2009-10-08 |
| 1407029523 | Sara Barth Cortes | Pediatrics | 1611 Nw 12th Ave, Miami, FL 33136 | 2008-04-09 |
| Find all providers in MIAMI | ||||
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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.