Provider Demographics
NPI:1558253542
Name:GOLDENMINDS LLC
Entity type:Organization
Organization Name:GOLDENMINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPETARIA
Authorized Official - Prefix:
Authorized Official - First Name:ZULLYENIVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTERO RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-999-9999
Mailing Address - Street 1:EXT SANTA TERESITA 4006 CALLE SANTA CATALINA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EXT SANTA TERESITA 4006 CALLE SANTA CATALINA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-231-3421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)