RAUL DE LA GUARDIA DOMINGUEZ NPI 1851925150

NPI Information

  • NPI: 1851925150
  • Provider Name: RAUL DE LA GUARDIA DOMINGUEZ
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 NW 23RD AVE STE 305
    MIAMI, FL
    ZIP 33125
  • Phone: (305) 541-3881

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NPI Details

Raul De La Guardia Dominguez is a family nurse practitioner in Miami, FL. Raul De La Guardia Dominguez NPI is 1851925150. 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:

711 NW 23RD AVE STE 305
MIAMI, FL
ZIP 33125-395
Phone: (305) 541-3881
Fax: (305) 642-9534

The NPI 1851925150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2020 and was last updated on 12/9/2021.

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
1363LF0000XNurse PractitionerFamily11006322FLORIDAYes

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: 3/30/2025

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