MEDICARE: GOLDEN OASIS MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1912863481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN OASIS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	10201 HAMMOCKS BLVD STE 148
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3785
Country	:	US
Telephone Number	:	786-968-8340
Fax Number	:	954-869-3117

Provider Business Practice Location Address
First Line	:	10201 HAMMOCKS BLVD STE 148
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3785
Country	:	US
Telephone Number	:	786-968-8340
Fax Number	:	954-869-3117

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE HORRUITINER
Credential	:
Telephone Number	:	786-603-0261

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “GOLDEN OASIS MEDICAL CENTER ” Practice Location

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