Organization Active NPI

Gold Health LLC

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1033860648
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GOLD HEALTH LLC
Practice address
16120 SW 155TH CT
Miami, FL 33187-5222
Phone
(786) 201-3226
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamara Guerra AlfonsoNPI 1154810661
Title
Owner
Phone
(786) 201-3226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

16120 SW 155TH CT
Miami, FL 33187-5222

Mailing address

16120 SW 155TH CT
Miami, FL 33187-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220303001687 FL Part B Supplier - Clinic/Group Practice 1850785098 Receives reassigned benefits from 1 practitioner
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory

Locations

19100 SW 106th Ave
Unit 12B
Cutler Bay, FL 33157
Phone (786) 760-7193

14221 SW 120th St
Ste 121
Miami, FL 33186
Phone (786) 359-4818

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1033860648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 SW 155TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 SW 155TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875222",
            "telephone_number": "786-201-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GUERRA ALFONSO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-201-3226"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.