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SR DIRECT LLC
NPI 1366242281
Family Medicine - Geriatric Medicine in Miami, FL

Active since March 18, 2025
390 NE 191ST ST STE 8952, MIAMI, FL 33179(786) 697-1315 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2025, Mar 25, 2025, Mar 18, 2025 (3 updates tracked since 2025).

About Sr Direct Llc NPPES

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

SR DIRECT LLC (NPI 1366242281) is a healthcare organization registered as a geriatric medicine in Miami, Florida and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Miami and lists Michael Dominguez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366242281
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSR DIRECT LLC
Location Address390 NE 191ST ST STE 8952Miami, FL 33179-3899
Mailing Address390 Ne 191st St Ste 8952Miami, FL 33179-3899 · (786) 697-1315
Phone(786) 697-1315
Organization SubpartNo
Authorized OfficialMichael DominguezCeo · (786) 548-7589
Enumeration DateMarch 18, 2025
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1366242281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedHome HealthTaxonomy 251E00000X
390 NE 191ST ST STE 8952, Miami, FL 33179
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Secondary Practice Location 1

Location 1390 NE 191st St Ste 8952Miami, FL 33179-3899 · Phone (786) 697-1315

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 Sr Direct LLC's NPI number?

The NPI number for Sr Direct LLC is 1366242281. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Sr Direct LLC located?

Sr Direct LLC is located at 390 NE 191st St Ste 8952, Miami, FL 33179. The listed phone number is (786) 697-1315.

What is Sr Direct LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Sr Direct LLC was last updated on May 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.