Individual provider Active NPI

Amaury Guerra Gutierrez, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Miramar, FL
National Provider Identifier
1063742740
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME115832 Issued in FL
Practice address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027
Phone
(877) 866-7123
NPI assigned
Jan 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME115832 FL Primary
Family Medicine Physician 207Q00000X 28394-R PR

Addresses

Primary practice location

3601 SW 160TH Ave Ste 250
Miramar, FL 33027

Mailing address

3046 Corporate Way
Miramar, FL 33025-6547
Phone (954) 486-4085

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130625000610 FL Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Peripheral Vascular Disease 9537308481 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28394-RPRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Apr 22, 2019 Accepting new patients
Advanced Internal Medicine Care, PA CurrentSince Jul 1, 2013 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Nov 1, 2016 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Nov 1, 2016 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Apr 22, 2019 Accepting new patients

Locations

304 S Citrus Ave
Inverness, FL 34452
Phone (352) 344-4791

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

5425 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-3585

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

3110 Oakbridge Blvd E
Lakeland, FL 33803
Phone (863) 619-2102

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

Organizations & group practices 5

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": "1262390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1063742740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 CORPORATE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256547",
            "telephone_number": "954-486-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA GUTIERREZ",
        "first_name": "AMAURY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-02",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME115832",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "28394-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.