Marisela Dominguez, is a
Behavior Technician based in Hialeah, Florida. Marisela Dominguez is licensed to practice in * (Not Available) (license number ) and her current practice location is
5471 W 10th Ln, Hialeah, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 220-3382.
NPI number for Marisela Dominguez is 1619590106 and her current mailing address is 5471 W 10th Ln, Hialeah, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619590106.
Provider's Profile
| Full Name | Marisela Dominguez |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 5471 W 10th Ln, Hialeah, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619590106
- Provider Enumeration Date: 05/19/2020
- Last Update Date: 10/04/2025
Medical Identifiers
Medical identifiers for Marisela Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619590106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | APRN11042677 (Florida) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisela Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marisela Dominguez, 5471 W 10th Ln, Hialeah, FL 33012-2463 Ph: (786) 414-4791 | Marisela Dominguez, 5471 W 10th Ln, Hialeah, FL 33012-2463 Ph: (305) 220-3382 |
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