Individual provider Active NPI

Indira Beatriz Gutierrez, APRN-FNP-C

  • Family Nurse Practitioner
  • Naranja, FL
National Provider Identifier
1083345094
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020364 Issued in FL
Practice address
27435 S Dixie Hwy
Naranja, FL 33032-8230
Phone
(786) 650-2345
Fax
(305) 275-7066
NPI assigned
Jun 21, 2022
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020364 FL Primary

Addresses

Primary practice location

27435 S Dixie Hwy
Naranja, FL 33032-8230

Mailing address

12966 SW 150TH Ter
Miami, FL 33186-7601
Phone (786) 406-2497

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222000150 FL Practitioner - Nurse Practitioner 3476926460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11020364FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Activa Medical Center & Spa CurrentSince Feb 9, 2025 Accepting new patients
Kalebet Healthcare LLC CurrentSince Feb 1, 2023 Accepting new patients
Yesenia Medina DO PA PastSince Jan 25, 2023 Accepting new patients
Sunset Cardiology Centers Inc PastSince Sep 1, 2022 Accepting new patients
Curitiva Medical Centers Corp PastSince Sep 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1083345094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 SW 150TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867601",
            "telephone_number": "786-406-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27435 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330328230",
            "telephone_number": "786-650-2345",
            "fax_number": "305-275-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "INDIRA",
        "middle_name": "BEATRIZ",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranja, FL

Sources for this page

Verify at the official NPI Registry.