MAXFELONILO A DOMINGO MD NPI 1235326984

NPI Information

NPI: 1235326984
Provider Name: MAXFELONILO A DOMINGO, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
760 SE 5TH TERRACE
CRYSTAL RIVER, FL
ZIP 34429
Phone: (352) 795-4165
Get Directions

Maxfelonilo A Domingo, MD is a cardiovascular disease internal medicine in Crystal River, 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. Maxfelonilo A Domingo, MD NPI is 1235326984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

760 SE 5TH TERRACE
CRYSTAL RIVER, FL
ZIP 34429-852
Phone: (352) 795-4165
Fax: (352) 795-3659

The enumeration date for this NPI number is 9/26/2007 and was last updated on 10/8/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	ME0043605	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06004119	OTHER	FLORIDA	RAILROAD MEDICARE
2	592123944	OTHER	FLORIDA	CIGNA
3	ME43605	OTHER	FLORIDA	STATE MEDICAL LICENSE
4	77940	OTHER	FLORIDA	MEDICARE GROUP ID
5	CF1416	OTHER	FLORIDA	MEDICARE RR GROUP
6	79947	OTHER	FLORIDA	BS OF FL
7	11379665	OTHER	FLORIDA	CAQH
8	79947X	MEDICARE PIN	FLORIDA
9	77940	OTHER	FLORIDA	BCBS OF FL GROUP ID
10	000755600	MEDICAID	FLORIDA
11	269859500	OTHER	FLORIDA	MEDICAID GROUP
12	D67381	MEDICARE UPIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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