Dominguez Community Center Corp.

LBN: Dominguez Community Center Corp.
Dominguez Community Center Corp. is an health care organization with primary practice located at 13205 Sw 137Th Ave Ste 132 , Miami FL 33186-5334. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Physical Therapy. Agencies / Case Management is the primary health care specialty. Dominguez Community Center Corp. can be contacted via phone (786) 478-6369, or through Dominguez, Adannys via phone (305) 744-4525.

Contact Information

Primary practice address
13205 Sw 137Th Ave Ste 132 Miami FL 33186-5334
Phone: (786) 478-6369
Fax: (786) 429-1704
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Adannys
Phone: (305) 744-4525

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1366953895
LBN Legal business name Dominguez Community Center Corp.
DBA Doing business as
Authorized official Dominguez, Adannys
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2017
Last updated Dec 15th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366953895 NPPES
Florida MEDICAID 022727100

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