Organization Active NPI

Gold Medical Center

  • Multi-Specialty Clinic/Center
  • Doral, FL
National Provider Identifier
1255701140
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GOLD MEDICAL CENTER
Practice address
3900 NW 79TH Ave Ste 476
Doral, FL 33166-6599
Phone
(305) 479-5147
Fax
(786) 221-2572
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Hector Raul Estevez
Title
President
Phone
(305) 479-5147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 476
Doral, FL 33166-6599

Mailing address

3900 NW 79TH Ave Ste 476
Doral, FL 33166-6599
Phone (305) 479-5147

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1255701140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 476",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666599",
            "telephone_number": "305-479-5147",
            "fax_number": "786-221-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 476",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666599",
            "telephone_number": "305-479-5147",
            "fax_number": "786-221-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-479-5147"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.