| Lorayne Enriquez Dominguez, NP | |
| 
					4980 W 10th Ave, Hialeah, FL 33012-3437  | |
| (305) 534-0076 | |
| Not Available | 
| Full Name | Lorayne Enriquez Dominguez | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4980 W 10th Ave, Hialeah, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508376500 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11013390 (Florida) | Primary | 
| Entity Name | Conviva Medical Center Management, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415  | 
| Entity Name | Miami Beach Medical Consultants, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891032819 PECOS PAC ID: 2365807799 Enrollment ID: O20230508001323  | 
| Entity Name | Gomez Behavioral Solution Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285400515 PECOS PAC ID: 7315383023 Enrollment ID: O20240315001295  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lorayne Enriquez Dominguez, NP 1400 Nw 107th Ave Ste 500, Sweetwater, FL 33172-2746 Ph: (305) 534-0076  | Lorayne Enriquez Dominguez, NP 4980 W 10th Ave, Hialeah, FL 33012-3437 Ph: (305) 534-0076  | 
Evelyn De La C Pardo,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3195 W 72nd Ter, Hialeah, FL 33018 Phone: 786-286-7667 Fax: 786-286-7667  | |
Ms. Albertina Onelia De La Osa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18530 Nw 81st Ct, Hialeah, FL 33015 Phone: 305-582-6837  | |
Hendrick Vega Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Nw 62nd Ave Ste 100, Hialeah, FL 33015 Phone: 305-749-6203 Fax: 786-520-3173  | |
Emilio Guerrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4450 W 16th Ave Apt 524, Hialeah, FL 33012 Phone: 786-269-4060  | |
Dina Marcela Duran,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18900 Wentworth Dr, Hialeah, FL 33015 Phone: 305-498-9595  | |
Yarlie Vincent,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 786-520-1799  | |
Rebecca Marie Hidalgo, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5420 W 26th Ave, Hialeah, FL 33016 Phone: 786-556-7688  |