Active NPI
Golden Medical Diagnostic Inc
- Physical Medicine & Rehabilitation Physician
- Miami, FL
National Provider Identifier
1497340319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- GOLDEN MEDICAL DIAGNOSTIC INC
- Practice address
- 4995 NW 72ND Ave Ste 401
Miami, FL 33166-5643 - Phone
- (786) 558-5860
- NPI assigned
- Mar 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergio Ramos
- Title
- President/Owner
- Phone
- (786) 973-6388
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
4995 NW 72ND Ave Ste 401
Miami, FL 33166-5643
Mailing address
4995 NW 72ND Ave Ste 401
Miami, FL 33166-5643
Phone (786) 558-5860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4995 NW 72nd Ave
Ste 401
Miami, FL 33166
Phone (786) 558-5860
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Port Orange, FL
- NPI 1235685181
-
- Psychiatry Physician
- South Miami, FL
- NPI 1578023453
-
- Family Nurse Practitioner
- Marathon, FL
- NPI 1437790045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1497340319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4995 NW 72ND AVE STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331665643",
"telephone_number": "786-558-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4995 NW 72ND AVE STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331665643",
"telephone_number": "786-558-5860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN MEDICAL DIAGNOSTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-02",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "SERGIO",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "786-973-6388"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 22, 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.