Individual provider Active NPI

Pete Gutierrez, MD/PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1013928985
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
PA3622 Issued in FL
Practice address
2015 NW 1St Ave
Miami, FL 33127-4901
Phone
(305) 572-2026
Fax
(305) 572-2025
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X PA3622 FL Primary
Community Health Clinic/Center 261QC1500X ACN296 FL
Community Health Clinic/Center 261QC1500X MD11514 PR

Addresses

Primary practice location

2015 NW 1St Ave
Miami, FL 33127-4901

Mailing address

2015 NW 1St Ave
971 NW 2ND Street
Miami, FL 33127-4901
Phone (305) 572-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3622FLMDGeneral Practice Physician
ACN296FLMDCommunity Health Clinic/Center
MD11514PRMDCommunity Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Silverman Chiropractic & Rehabilitation Center Inc Past Accepting new patients
Rodolfo Gutierrez-Alsina MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pete.gutierrez.1@23939.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23939/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1013928985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "address_2": "971 NW 2ND STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-2026",
            "fax_number": "305-572-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-2026",
            "fax_number": "305-572-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "PETE",
        "credential": "MD/PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "PA3622",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "ACN296",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "PR",
            "license": "MD11514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.