NPIMap

Organization Active NPI

Golden Gate Medical Group Corp

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1366041709
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GOLDEN GATE MEDICAL GROUP CORP
Practice address
1818 W Flagler St
Miami, FL 33135-1915
Phone
(786) 755-2892
Fax
(305) 364-5767
NPI assigned
Oct 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Daniela Ruiz Alvarez
Title
President
Phone
(786) 755-2892

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1818 W Flagler St
Miami, FL 33135-1915

Mailing address

1818 W Flagler St
Miami, FL 33135-1915
Phone (786) 755-2897

Other names 1

  • GOLDEN GATE MENTAL HEALTH CORP Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210708000338 FL Part B Supplier - Clinic/Group Practice 0042612475 Receives reassigned benefits from 8 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1818 W Flagler St
Miami, FL 33135
Phone (754) 208-9566

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 9

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": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1366041709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351915",
            "telephone_number": "786-755-2897",
            "fax_number": "305-364-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351915",
            "telephone_number": "786-755-2892",
            "fax_number": "305-364-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "RUIZ ALVAREZ",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-755-2892"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN GATE MENTAL HEALTH CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 21, 2025; 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.