MEDICARE: OSCAR JOSEPH DOMINGUEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME85157	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134203599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR JOSEPH DOMINGUEZ M.D.

Provider Business Mailing Address
First Line	:	8356 SW 40TH ST STE ABC
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3356
Country	:	US
Telephone Number	:	305-727-2020
Fax Number	:	305-808-3094

Provider Business Practice Location Address
First Line	:	8356 SW 40TH ST STE ABC
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3356
Country	:	US
Telephone Number	:	305-390-2729
Fax Number	:	305-676-6628

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	10/14/2025

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