Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanny Lopez Dominguez, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972187086

Johanny Lopez Dominguez, MD is a Dermatology in Orlando, Florida. Graduated from Mayo Medical School in 2022, 4 years ago. Licensed in Florida.

Years since qualifying
4
Trained at
Mayo Medical School
Licensed in
FL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

52 W Underwood St
Orlando, FL 32806-1110
Phone: (321) 841-5145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 35293 (FL)

Record details

NPI number1972187086
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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