ARMANDO DOMINGUEZ DIAZ
NPI 1396480471
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since May 03, 2022PECOS Enrolled
267 GRANT STREET, BRIDGEPORT, CT 06610(203) 384-3883(203) 384-4680 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 17, 2023, May 3, 2022 (2 updates tracked since 2022).

About Armando Dominguez Diaz NPPES

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

ARMANDO DOMINGUEZ DIAZ (NPI 1396480471) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396480471
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameARMANDO DOMINGUEZ DIAZ
Location Address267 GRANT STREETBridgeport, CT 06610
Mailing Address267 Grant StreetBridgeport, CT 06610 · (203) 384-3883 · Fax (203) 384-4680
Fax(203) 384-4680
Sole ProprietorYes
Enumeration DateMay 3, 2022
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
NPI 1396480471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT STREET, Bridgeport, CT 06610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Armando Dominguez Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Internal Medicine
267 GRANT STREET
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Internal Medicine (Cardiovascular Disease)
267 GRANT STREET, BRIDGEPORT HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610

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 Armando Dominguez Diaz's NPI number?

The NPI number for Armando Dominguez Diaz is 1396480471. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Armando Dominguez Diaz located?

Armando Dominguez Diaz practices at 267 Grant Street, Bridgeport, CT 06610. The listed phone number is (203) 384-3883.

What is Armando Dominguez Diaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Armando Dominguez Diaz enrolled in Medicare?

Yes. Armando Dominguez Diaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Armando Dominguez Diaz was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.