HUMBERTO A DOMINGUEZ MD PA
NPI 1144538364
Clinic/Center - Primary Care in Debary, FL

Active since September 22, 2010
70 FOX RIDGE CT, SUITE A, DEBARY, FL 32713(386) 668-4411(386) 668-8688 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Humberto A Dominguez Md Pa NPPES

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

HUMBERTO A DOMINGUEZ MD PA (NPI 1144538364) is a healthcare organization registered as a primary care in Debary, Florida and active in the NPI registry since September 2010. The organization lists Humberto A Dominguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1144538364
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUMBERTO A DOMINGUEZ MD PA
Location Address70 FOX RIDGE CT, SUITE ADebary, FL 32713-2752
Mailing Address70 Fox Ridge Ct, Suite ADebary, FL 32713-2752 · (386) 668-4411 · Fax (386) 668-8688
Fax(386) 668-8688
Organization SubpartNo
Authorized OfficialHumberto A DominguezOwner · (386) 668-4411
Enumeration DateSeptember 22, 2010
Last NPPES UpdateJune 20, 2011
NPI 1144538364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · ME29577
70 FOX RIDGE CT, Debary, FL 32713

Other Identifiers 3

Medicare UPIND56577FL
Medicaid038066100FL
Medicare PINEJ697AFL

Other Providers at the Same Location NPPES 4

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

Surgery
70 FOX RIDGE CT, STE B
DEBARY, FL 32713
Specialist
70 FOX RIDGE CT
DEBARY, FL 32713
Family Medicine
70 FOX RIDGE CT, SUITE B
DEBARY, FL 32713
Chiropractor
70 FOX RIDGE CT
DEBARY, FL 32713

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 Humberto A Dominguez MD PA's NPI number?

The NPI number for Humberto A Dominguez MD PA is 1144538364. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is Humberto A Dominguez MD PA located?

Humberto A Dominguez MD PA is located at 70 Fox Ridge Ct Suite A, Debary, FL 32713. The listed phone number is (386) 668-4411.

What is Humberto A Dominguez MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Humberto A Dominguez MD PA was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.