MR. EDDY DOMINGUEZ M.A. NPI 1447533252

NPI Information

  • NPI: 1447533252
  • Provider Name: MR. EDDY DOMINGUEZ, M.A.
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1535 SW 122ND AVE
    APT 3
    MIAMI, FL
    ZIP 33184
  • Phone: (786) 470-4698

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NPI Details

MR. Eddy Dominguez, M.A. is a massage therapist in Miami, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Eddy Dominguez, M.A. NPI is 1447533252. 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:

1535 SW 122ND AVE
APT 3
MIAMI, FL
ZIP 33184-837
Phone: (786) 470-4698

The enumeration date for this NPI number is 9/28/2011 and was last updated on 9/28/2011.

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
1225700000XMassage TherapistMA46952FLORIDAYes

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
1MA46952OTHERFLORIDASTATE LICENSE

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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