Golden Era Alf, Corp.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

AL10487 Issued in FL

Legal business name

GOLDEN ERA ALF, CORP.

Practice address

15680 SW 139TH Ave
Miami, FL 33177-1067

Phone

(305) 785-6880

Fax

(305) 552-5975

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Ibis Alvarez

Title

President

Phone

(305) 785-6880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1568639284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771067",
            "telephone_number": "305-785-6880",
            "fax_number": "305-552-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771067",
            "telephone_number": "305-785-6880",
            "fax_number": "305-552-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ERA ALF, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "IBIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-785-6880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "AL10487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.