Provider Demographics
NPI:1255701140
Name:GOLD MEDICAL CENTER
Entity type:Organization
Organization Name:GOLD MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:RAUL
Authorized Official - Last Name:ESTEVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-479-5147
Mailing Address - Street 1:3900 NW 79TH AVE STE 476
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6599
Mailing Address - Country:US
Mailing Address - Phone:305-479-5147
Mailing Address - Fax:786-221-2572
Practice Address - Street 1:3900 NW 79TH AVE STE 476
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6599
Practice Address - Country:US
Practice Address - Phone:305-479-5147
Practice Address - Fax:786-221-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty