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NPI Code Detail

MEDICARE: ALEXIS DOMINGUEZ M.D.

MEDICARE:   ALEXIS  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
1207V00000XObstetrics & Gynecology PhysicianME113513FL

Other Identifiers

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

General Provider Information

NPI Number : 1891939294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DOMINGUEZ M.D.
Provider Business Mailing Address
First Line : 3641 S MIAMI AVE STE 250
Second Line :
City : MIAMI
State : FL
Zip : 33133-4219
Country : US
Telephone Number : 305-854-2899
Fax Number : 305-859-9677
Provider Business Practice Location Address
First Line : 3641 S MIAMI AVE STE 250
Second Line :
City : MIAMI
State : FL
Zip : 33133-4219
Country : US
Telephone Number : 305-854-2899
Fax Number : 305-859-9677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2009
Last Update Date : 01/30/2026

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