Provider Demographics
NPI:1093334492
Name:SENTIR MEDICAL CENTER INC. D/B/A/ GOLDEN HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:SENTIR MEDICAL CENTER INC. D/B/A/ GOLDEN HEALTH AND WELLNESS
Other - Org Name:GOLDEN HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHELCEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-953-6368
Mailing Address - Street 1:1493 N.W. 54 STREET
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142
Mailing Address - Country:US
Mailing Address - Phone:786-953-6368
Mailing Address - Fax:786-431-5787
Practice Address - Street 1:1493 N.W. 54 STREET
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142
Practice Address - Country:US
Practice Address - Phone:786-953-6368
Practice Address - Fax:786-431-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center