DR. ANNETTE GOMEZ DOMINICCI MD
NPI 1871269431
General Practice in Ponce, PR
About Dr. Annette Gomez Dominicci Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANNETTE GOMEZ DOMINICCI MD (NPI 1871269431) is an individual general practice provider in Ponce, Puerto Rico, licensed in Puerto Rico (22520) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Annette Gomez Dominicci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Annette Gomez Dominicci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Guayama, PR 00784
- Reassigned Medicare billing, Puerto Rico enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Annette Gomez Dominicci's NPI number?
The NPI number for Annette Gomez Dominicci is 1871269431. It was assigned to this individual provider in the NPPES registry on August 23, 2021.
Where is Annette Gomez Dominicci located?
Annette Gomez Dominicci practices at 1867 Blvd Luis A Ferre, Ponce, PR 00728. The listed phone number is (939) 384-0738.
What is Annette Gomez Dominicci's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Annette Gomez Dominicci enrolled in Medicare?
Yes. Annette Gomez Dominicci is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Annette Gomez Dominicci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annette Gomez Dominicci reassigns Medicare benefits to Southern Health Care Group, Inc. (Guayama, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Gomez Dominicci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Annette Gomez Dominicci was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Annette Gomez Dominicci, MD · NPI 1871269431
General Practice physician in Ponce, Puerto Rico. Individual provider, active in the CMS NPPES registry since August 23, 2021.
## Identity
- **NPI:** 1871269431 (Entity type: Individual)
- **Enumerated:** August 23, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 22520 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1867 BLVD LUIS A FERRE, Ponce, PR 00728-1816
- **Phone:** (939) 384-0738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Health Care Group, Inc. (NPI 1780770917, Guayama, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871269431) · Data from the CMS NPPES public registry.