Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 132099 | FL |
N | 207V00000X | Obstetrician & Gynecologist | 274919 | NY |
NPI | 1003136946 |
---|---|
Provider Name | Dr. Anna Priscila Dominguez Espaillat |
First Address | Miami, FL 33176-2197 |
Second Address | Miami, FL 33176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 27/08/2019 |