Our Golden Medical Center

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME81667 Issued in FL

Legal business name

OUR GOLDEN MEDICAL CENTER

Practice address

12781 SW 42ND St
Ste H
Miami, FL 33175-3437

Phone

(305) 229-3990

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Direndia Shackelford

Title

Managed Care Specialist

Phone

(800) 654-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JUAN G CAMAYD MD Doing business as

Tax ID family

Juan G Camayd MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Our Golden Medical Center

  • General Practice Physician
  • Miami, FL
  • NPI 1689650038
  NPD tax ID

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447366208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 SW 42ND ST",
            "address_2": "STE H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 SW 42ND ST",
            "address_2": "STE H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753437",
            "telephone_number": "305-229-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR GOLDEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME81667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1019113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUAN G CAMAYD MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our Children Our Future
• Our Children'S Dream Behavioral Service Corp
• Our Family Assisted Living Facility II, Inc.
• Our Family Assisted Living Facility III, Inc.
• Our Family Pharmacy, Inc.
• Our Golden Medical Center
• Our Journey Together, Corp.
• Our Lady Health of the Sick PLLC
• Our Lady of Charity Aclf, Inc.
• Our Lady of Fatima Inc

• Non-Pharmacy Dispensing Site in Miami, FL
• Providers in Miami, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.