| Golden Health Corporation | |
|
5612 Nw 167th Street Miami Lakes FL 33014-6135 | |
| (786) 858-7800 | |
| (786) 549-0170 |
| Full Name | Golden Health Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5612 Nw 167th Street, Miami Lakes, Florida |
| Authorized Official Name and Position | Priscilla Aucar (PRESIDENT) |
| Authorized Official Contact | 7868587800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Health Corporation 5612 Nw 167th Street Miami Lakes FL 33014-6135 Ph: (786) 858-7800 | Golden Health Corporation 5612 Nw 167th Street Miami Lakes FL 33014-6135 Ph: (786) 858-7800 |
| NPI Number | 1255918801 |
|---|---|
| Provider Enumeration Date | 03/28/2021 |
| Last Update Date | 08/06/2024 |
| Medicare PECOS PAC ID | 1658761358 |
|---|---|
| Medicare Enrollment ID | O20211213002108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255918801 | NPI | - | NPPES |
| 113280300 | Medicaid | FL | |
| OP333 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Juan P Nunez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255869491 PECOS PAC ID: 3274877535 Enrollment ID: I20181128000835 |
| Provider Name | Marta Y Herrera Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477160513 PECOS PAC ID: 0941690549 Enrollment ID: I20211213002466 |
| Provider Name | Leticia Mas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144996448 PECOS PAC ID: 8527441815 Enrollment ID: I20220819000238 |
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