DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ M.D.
NPI 1821310632
Psychiatry & Neurology - Child & Adolescent Psychiatry in Miami, FL

Q: What is Osvaldo Fernandez Dominguez's NPI number?

The NPI number for Osvaldo Fernandez Dominguez is 1821310632. It was assigned to this individual provider in the NPPES registry on February 20, 2010.

Q: What is Osvaldo Fernandez Dominguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since February 20, 2010PECOS Enrolled

3621 SW 107TH AVE, MIAMI, FL 33165(855) 226-6633 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Osvaldo Antonio Fernandez Dominguez M.d. NPPES

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

DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ M.D. (NPI 1821310632) is an individual child & adolescent psychiatry provider in Miami, Florida, licensed in Florida (ME106374) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1821310632

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZCredential: M.D.

Location Address3621 SW 107TH AVEMiami, FL 33165-3636

Mailing Address3621 Sw 107th AveMiami, FL 33165-3636 · (855) 226-6633

Phone(855) 226-6633

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateFebruary 20, 2010

Last NPPES UpdateJanuary 9, 2023

NPPES CertifiedJanuary 9, 2023

✔ NPI 1821310632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in FL · ME106374

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

3621 SW 107TH AVE, Miami, FL 33165

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Other Identifiers 1

Medicaid002095400FL

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)

Dr. Osvaldo Antonio Fernandez Dominguez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698806636

PECOS Enrollment IDI20100708000383

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

530 services204 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

59 services34 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

38 services38 patients

Psychiatric diagnostic evaluation with medical services 90792

15 services15 patients

Other Providers at the Same Location NPPES 12

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

MR. EDDY ELOY QUINTANA CRUZ CBHCM100190

Social Worker