Individual
DR. ROBERTO V DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 228-7696
(813) 228-0677
Mailing address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 228-7696
(813) 228-0677
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0070106
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME0070106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305989
UNITED HEALTHCARE
FL
05
—
2513081-00
—
FL
01
—
2755877
AETNA
FL
01
—
32985
BLUE CROSS
FL
01
—
4333872005
CIGNA
FL
01
—
B217748
WELLCARE (NON-PAR)
FL
Enumeration date
04/26/2006
Last updated
10/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us