DOMINGUEZ COMMUNITY CENTER CORP. NPI 1366953895

NPI Information

  • NPI: 1366953895
  • Provider Name: DOMINGUEZ COMMUNITY CENTER CORP.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 13205 SW 137TH AVE STE 132
    MIAMI, FL
    ZIP 33186
  • Phone: (786) 478-6369

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NPI Details

DOMINGUEZ COMMUNITY CENTER CORP. is a community behavioral health in Miami, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DOMINGUEZ COMMUNITY CENTER CORP. NPI is 1366953895. The provider is registered as an organization entity type.

The provider's business location address is:

13205 SW 137TH AVE STE 132
MIAMI, FL
ZIP 33186-334
Phone: (786) 478-6369
Fax: (786) 429-1704

The provider's authorized official is Adannys Dominguez .
The authorized official title is Owner and has the following contact phone number (305) 744-4525.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 10/1/2024.

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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthYes
3261QM1300XClinic/CenterMulti-SpecialtyNo
4261QP2000XClinic/CenterPhysical TherapyNo

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
1022727100MEDICAIDFLORIDA

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: 11/21/2025

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