Golden Gate Medical Group Corp
Clinic/Center, Multi-Specialty in Miami, FL. Organization (NPI-2).
NPI number1366041709
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1366041709
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Gate Medical Group Corp
- Organization subpart
- No
- Enumeration date
- Oct 17, 2020
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207RA0201X | Internal Medicine, Allergy & Immunology | – | – | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Golden Gate Mental Health Corp (Former Legal Business Name)
Practice location
1818 W Flagler StMiami, FL 33135-1915
Phone 786-755-2892 · Fax 305-364-5767
Mailing address
1818 W Flagler StMiami, FL 33135-1915
Phone 786-755-2897 · Fax 305-364-5767
Authorized official
Daniela Ruiz Alvarez
President
7867552892
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