Provider Demographics
NPI:1659258499
Name:DOMINGUEZ VERA, DAIMI
Entity type:Individual
Prefix:
First Name:DAIMI
Middle Name:
Last Name:DOMINGUEZ VERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 W 56TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2001
Mailing Address - Country:US
Mailing Address - Phone:786-532-3553
Mailing Address - Fax:
Practice Address - Street 1:1712 W 56TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2001
Practice Address - Country:US
Practice Address - Phone:786-532-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist