| Golden Medical Diagnostic Inc | |
|
4995 Nw 72nd Ave Ste 401 Miami FL 33166-5643 | |
| (786) 558-5860 | |
| Not Available |
| Full Name | Golden Medical Diagnostic Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4995 Nw 72nd Ave Ste 401, Miami, Florida |
| Authorized Official Name and Position | Sergio Ramos (PRESIDENT/OWNER) |
| Authorized Official Contact | 7869736388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Medical Diagnostic Inc 4995 Nw 72nd Ave Ste 401 Miami FL 33166-5643 Ph: (786) 558-5860 | Golden Medical Diagnostic Inc 4995 Nw 72nd Ave Ste 401 Miami FL 33166-5643 Ph: (786) 558-5860 |
| NPI Number | 1497340319 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 3375935661 |
|---|---|
| Medicare Enrollment ID | O20220118002397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497340319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Mildrey Exposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437790045 PECOS PAC ID: 0941632277 Enrollment ID: I20201230001111 |
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