Provider Type Icon

JOSE C DOMINGUEZ MD PA NPI 1073842084


NPI Information

NPI: 1073842084
Provider Name: JOSE C DOMINGUEZ MD PA

Doing Business As: JOSE C DOMINGUEZ MD PA

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4600 N HABANA AVE
SUITE 20
TAMPA, FL
ZIP 33614
Phone: (813) 877-9449
Get Directions

JOSE C DOMINGUEZ MD PA is a cardiovascular disease internal medicine in Tampa, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. JOSE C DOMINGUEZ MD PA NPI is 1073842084. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jose C Dominguez Md Pa.

The provider's business location address is:

4600 N HABANA AVE
SUITE 20
TAMPA, FL
ZIP 33614-123
Phone: (813) 877-9449
Fax: (813) 877-9502

The provider's authorized official is Jose Carlos Dominguez .
The authorized official title is President and has the following contact phone number (813) 877-9449.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 1/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseME12573FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
129519MEDICARE PIN
2D85448MEDICARE UPIN
3043180000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.