Active NPI
Odin Gutierrez, A.P.
- Acupuncturist
- Wilton Manors, FL
National Provider Identifier
1003067885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 2616
- Practice address
- 1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431 - Phone
- (786) 564-1881
- NPI assigned
- Oct 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 2616 | FL | Primary |
Addresses
Primary practice location
1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431
Mailing address
300 Three Islands Blvd
Apt 701
Hallandale Beach, FL 33009-2893
Phone (786) 564-1881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 2616 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1003067885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 THREE ISLANDS BLVD",
"address_2": "APT 701",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092893",
"telephone_number": "786-564-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 NE 26TH ST",
"address_2": "SUITE 101",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051431",
"telephone_number": "786-564-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ODIN",
"credential": "A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 2616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.