Active NPI
Golden Medical Center LLC
- Family Medicine Physician
- Miramar, FL
National Provider Identifier
1942020318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GOLDEN MEDICAL CENTER LLC
- Practice address
- 12012 Miramar Pkwy
Miramar, FL 33025-7000 - Phone
- (786) 452-6189
- NPI assigned
- Oct 11, 2024
- 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
- Daylin Garcia Perez
- Title
- MGR
- Phone
- (786) 319-6422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
12012 Miramar Pkwy
Miramar, FL 33025-7000
Mailing address
12012 Miramar Pkwy
Miramar, FL 33025-7000
Phone (786) 452-6189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2198220 | Golden Medical Center LLC | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
12012 Miramar Pkwy
Miramar, FL 33025
Phone (754) 340-8181
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1548506553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1942020318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12012 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257000",
"telephone_number": "786-452-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12012 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257000",
"telephone_number": "786-452-6189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "GARCIA PEREZ",
"authorized_official_first_name": "DAYLIN",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "786-319-6422"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.