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

Obdelis Dominguez

Individual provider Family Nurse Practitioner · NPI 1912634163

Obdelis Dominguez is a Nurse Practitioner in Miami, Florida. Qualified in 2022, 4 years ago. Practices with Smd Medservices LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

2860 SW 133rd Ct
Miami, FL 33175-7133
Phone: (786) 447-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11021188 (FL)

Record details

NPI number1912634163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2022
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Smd Medservices Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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