EDDY DOMINGUEZ APRN
NPI 1609042878
Nurse Practitioner - Family in Hialeah, FL

Q: What is Eddy Dominguez's NPI number?

The NPI number for Eddy Dominguez is 1609042878. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Q: What is Eddy Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Eddy Dominguez was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 07, 2008PECOS Enrolled

4175 W 20TH AVE, HIALEAH, FL 33012(305) 825-0300 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eddy Dominguez Aprn NPPES

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

EDDY DOMINGUEZ APRN (NPI 1609042878) is an individual family provider in Hialeah, Florida, licensed in Florida (11004646) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609042878

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameEDDY DOMINGUEZCredential: APRN

Location Address4175 W 20TH AVEHialeah, FL 33012-5874

Mailing Address2735 W 52nd St Apt 103Hialeah, FL 33016-4771 · (786) 290-3277 · Fax (305) 757-4465

Phone(305) 825-0300

Sole ProprietorYes

Enumeration DateMay 7, 2008

Last NPPES UpdateDecember 11, 2020

NPPES CertifiedDecember 11, 2020

✔ NPI 1609042878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11004646

4175 W 20TH AVE, Hialeah, FL 33012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eddy Dominguez Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

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