Peter Gutierrez PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN296 Issued in FL

Legal business name

PETER GUTIERREZ PA

Practice address

5040 NW 7TH St Ste 370
Miami, FL 33126-3431

Phone

(305) 444-7121

Fax

(305) 735-5062

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Vivian Gutierrez

Title

VP

Phone

(305) 989-9844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gutierrez Family Care Doing business as

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1023567997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10271 SW 72ND ST # D102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733024",
            "telephone_number": "305-989-9844",
            "fax_number": "305-735-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 370",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263431",
            "telephone_number": "305-444-7121",
            "fax_number": "305-735-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER GUTIERREZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-989-9844"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003537402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gutierrez Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maydelis Pestano Donis
• Yanet Pestano Nordelo
• Pete Garcia MD PA
• Peter a. Khamvongsa MD PA
• Peter a. Martinez Noda, D.O., P.a.
• Peter Martinez-Noda DO PA
• Peter V Garcia MD PA
• Garnet S Peter, MD
• Richard B Peterman, M.D.
• Raynel-Jan Peteros, DPT

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.