Individual
ALBERTO DOMINGUEZ BALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 E 25TH ST, SUITE 203, HIALEAH, FL 33013-3825
(305) 693-3535
(305) 693-3565
Mailing address
19195 MYSTIC POINTE DR, SUITE 2107, AVENTURA, FL 33180-4502
(305) 693-3535
(305) 693-3565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 79533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00670
HEALTHSUN
—
01
—
0637
PARTNER CARE PCS
FL
01
—
1679532
CIGNA
FL
01
—
171705
HEALTHEASE
FL
01
—
174268
JMH
FL
01
—
220225
AMERIGROUP
FL
01
—
2504015
AETNA
FL
05
—
260195800
—
FL
01
—
273897
AVMED HEALTH PLAN
FL
01
—
36392
NEIGHBORHOOD HEALTH PLAN
FL
01
—
58932
BLUE CROSS BLUE SHIELD
FL
01
—
66798
VISTA HEALTH PLAN
FL
01
—
9366
TOTAL HEALTH CHOICE
FL
01
—
P00250548
RAILROAD MEDICARE
FL
Enumeration date
08/31/2006
Last updated
03/08/2010
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