Luis Fernando Gutierrez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME94423 Issued in FL

Practice address

9690 W Sample Rd Ste 101
Coral Springs, FL 33065-4031

Phone

(954) 346-8800

Fax

(954) 346-8280

NPI assigned

Sep 14, 2006

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Coral Springs Wellne Center Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Medical Coral Way Center CorpGroup PAC ID 5496738536, 6 clinicians

Luis F Gutierrez MD LLCGroup PAC ID 2567783814, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• FL HMO
• FL HMO D-SNP
• FL PPO
• FL HMO C-SNP

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJJJBD/Endpoint/IJJJBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luis F Gutierrez MD LLC

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1669712196
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Coral Way Center Corp

  • General Practice Physician
  • West Palm Beach, FL
  • NPI 1396780185
  Medicare reassignment Care Compare group NPD
• Coral Hills Imaging LLC

  • Radiology Clinic/Center
  • Coral Springs, FL
  • NPI 1114535762
  NPD Authorized official
• Drew a. Sax, O.D.,P.a.

  • Mental Illness Community Based Residential Treatment Facility
  • Coral Springs, FL
  • NPI 1235457995
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1003911975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 W SAMPLE RD STE 101-102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654046",
            "telephone_number": "954-346-8800",
            "fax_number": "954-346-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 W SAMPLE RD STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654031",
            "telephone_number": "954-346-8800",
            "fax_number": "954-346-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94423",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME94423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0722060",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "921426220995003",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11936941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "ME94423",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAL SPRINGS WELLNE",
            "last_name": "CENTER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Gustave
• Gutierrez & Faxas, P.a.
• Anadith Gutierrez Bernal
• Gonzalo N. Gutierrez Borges, MD
• Idelet Gutierrez Gomez
• Rafael Gutierrez
• Marsha Linda Gutsin, LMHC
• Sidney Gutsin, D.M.D.
• Jennifer Guttenberg, OTR
• Johanna Aralixza Guzman Curipoma, DH

• Family Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.