# RICARDO DOMINGUEZ, MD, PA.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598786634
- **Authorized official:** DR. RICARDO DOMINGUEZ M.D (PRESIDENT)
- **Authorized official phone:** (305) 693-7412

## Contact information

- **Practice address:** 777 E 25TH ST, SUITE 303, HIALEAH, FL 33013-3825
- **Practice address phone:** (305) 693-7412
- **Practice address fax:** (305) 693-7416
- **Mailing address:** 15211 FINTRY PL, MIAMI LAKES, FL 33016-1424
- **Mailing address phone:** (305) 819-3077
- **Mailing address fax:** (305) 827-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME87966 | FL | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 10/21/2009