Active NPI
Marcela G Gutierrez, ARNP
- Nurse Practitioner
- Orlando, FL
National Provider Identifier
1073684874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 3102182
- Practice address
- 615 E Princeton St
Suite 416
Orlando, FL 32803-1456 - Phone
- (407) 303-1687
- Fax
- (407) 303-1729
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 3102182 | FL | Primary |
Addresses
Primary practice location
615 E Princeton St
Suite 416
Orlando, FL 32803-1456
Mailing address
615 E Princeton St
Suite 416
Orlando, FL 32803-1456
Phone (407) 303-1687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3030521-00 | Medicaid | FL |
Other names 1
- Marcela G Grubman
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 3102182 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Miami, FL
- NPI 1578512125
-
- Clinical Medical Laboratory
- Miami, FL
- NPI 1790846087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1073684874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST",
"address_2": "SUITE 416",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031456",
"telephone_number": "407-303-1687",
"fax_number": "407-303-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST",
"address_2": "SUITE 416",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031456",
"telephone_number": "407-303-1687",
"fax_number": "407-303-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MARCELA",
"middle_name": "G",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 3102182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3030521-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARCELA",
"last_name": "GRUBMAN",
"middle_name": "G",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.