Organization Active NPI

Our Golden Medical Center

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1689650038
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME81667 Issued in FL
Legal business name
OUR GOLDEN MEDICAL CENTER
Practice address
12781 SW Bird Rd
Suite H
Miami, FL 33175
Phone
(305) 229-3990
NPI assigned
Dec 19, 2005
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Mayra CastroNPI 1518123322
Title
President
Phone
(305) 258-1425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME81667 FL Primary

Addresses

Primary practice location

12781 SW Bird Rd
Suite H
Miami, FL 33175

Mailing address

12553 SW 224TH St
Miami, FL 33170-6327

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1689650038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12553 SW 224TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331706327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 SW BIRD RD",
            "address_2": "SUITE H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-229-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR GOLDEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-258-1425"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME81667",
            "primary": true
        }
    ],
    "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 Sep 18, 2007; 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.