DR. JACQUELINE JENNIFER GOURDET DORVIL MD
NPI 1053085506
General Practice in Miami, FL
About Dr. Jacqueline Jennifer Gourdet Dorvil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE JENNIFER GOURDET DORVIL MD (NPI 1053085506) is an individual general practice provider in Miami, Florida, licensed in Florida (ACN1686) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Jacqueline Jennifer Gourdet Dorvil 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Gourdet Dorvil's NPI number?
The NPI number for Jacqueline Gourdet Dorvil is 1053085506. It was assigned to this individual provider in the NPPES registry on August 6, 2021.
Where is Jacqueline Gourdet Dorvil located?
Jacqueline Gourdet Dorvil practices at 6269 NW 7th Ave, Miami, FL 33150. The listed phone number is (786) 977-2944.
What is Jacqueline Gourdet Dorvil's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jacqueline Gourdet Dorvil enrolled in Medicare?
Yes. Jacqueline Gourdet Dorvil 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 Jacqueline Gourdet Dorvil was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jacqueline Jennifer Gourdet Dorvil, MD · NPI 1053085506
General Practice physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since August 6, 2021.
## Identity
- **NPI:** 1053085506 (Entity type: Individual)
- **Enumerated:** August 6, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN1686 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6269 NW 7TH AVE, Miami, FL 33150-4394
- **Phone:** (786) 977-2944
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053085506) · Data from the CMS NPPES public registry.