La Dorada LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LA DORADA LLC

Practice address

11880 SW 40TH St Ste 309
Miami, FL 33175-3574

Phone

(305) 224-2290

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Danisleydi Camacho Lopez

Title

Owner

Phone

(305) 224-2290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1104771369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753574",
            "telephone_number": "305-224-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DORADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "CAMACHO LOPEZ",
        "authorized_official_first_name": "DANISLEYDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-224-2290"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.