Provider Demographics
NPI:1598908188
Name:DOMINGUEZ-VERRET, CEILA M (MD)
Entity Type:Individual
Prefix:DR
First Name:CEILA
Middle Name:M
Last Name:DOMINGUEZ-VERRET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7100 WEST CAMINO REAL
Mailing Address - Street 2:SUITE 122
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433
Mailing Address - Country:US
Mailing Address - Phone:561-362-4330
Mailing Address - Fax:561-362-4307
Practice Address - Street 1:7100 WEST CAMINO REAL
Practice Address - Street 2:SUITE 122
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433
Practice Address - Country:US
Practice Address - Phone:561-362-4330
Practice Address - Fax:561-362-4307
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-12
Last Update Date:2022-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY264339-1208000000X
FLME1040552080P0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine