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Jesus Garcia Dominguez, APRN

Nurse Practitioner in Hialeah, FL. Individual provider (NPI-1).

NPI number1891336079
StatusActive
Last updated in NPPESSep 30, 2019

Details

NPI
1891336079
Entity type
Individual (NPI-1)
Name
Mr. Jesus Garcia Dominguez
Credential
APRN
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 30, 2019
Last updated
Sep 30, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner11004300FLYes

Practice location

355 W 20th St Apt 312
Hialeah, FL 33010-2553

Phone 786-371-7926

Mailing address

355 W 20th St Apt 312
Hialeah, FL 33010-2553

Phone 786-371-7926

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