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

Miriam Batule Dominguez, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003644501

Miriam Batule Dominguez, MD is a General Practice in San Juan, Puerto Rico. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
19
Licensed in
PR
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

550 Calle Sergio Cuevas Bustamante Esq Ave Domenech
San Juan, PR 00918
Phone: (305) 587-0283

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 24565 (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003644501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 25, 2024
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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