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MIRIAM BATULE DOMINGUEZ MD
NPI 1003644501
General Practice in San Juan, PR

Active since July 25, 2024PECOS EnrolledAccepts Medicare Assignment
550 CALLE SERGIO CUEVAS BUSTAMANTE ESQ. AVE DOMENECH, SAN JUAN, PR 00918(305) 587-0283 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miriam Batule Dominguez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM BATULE DOMINGUEZ MD (NPI 1003644501) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (24565) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003644501
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMIRIAM BATULE DOMINGUEZCredential: MD
Location Address550 CALLE SERGIO CUEVAS BUSTAMANTE ESQ. AVE DOMENECHSan Juan, PR 00918
Mailing Address550 Calle Sergio Cuevas Bustamante Esq. Ave DomenechSan Juan, PR 00918 · (305) 587-0283
Phone(305) 587-0283
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 25, 2024
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1003644501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 24565
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miriam Batule Dominguez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880189380
PECOS Enrollment IDI20251222003339
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARLOS ENRIQUE VARGAS
General Practice
550 CALLE SERGIO CUEVAS BUSTAMANTE ESQ. AVE DOMENECH
SAN JUAN, PR 00918
San Juan Municipio (787) 758-8383
JURGEN ANTHONY THIAS MD
General Practice
550 CALLE SERGIO CUEVAS BUSTAMANTE ESQ. AVE DOMENECH
SAN JUAN, PR 00918
San Juan Municipio (787) 758-8383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Batule Dominguez's NPI number?

The NPI number for Miriam Batule Dominguez is 1003644501. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Miriam Batule Dominguez located?

Miriam Batule Dominguez practices at 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918. The listed phone number is (305) 587-0283.

What is Miriam Batule Dominguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Miriam Batule Dominguez enrolled in Medicare?

Yes. Miriam Batule Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Miriam Batule Dominguez was last updated on August 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.