Individual provider Active NPI

Teofilo De Jesus Jimenez-Gutierrez

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1083551402
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
689264 Issued in FL
Practice address
5685 NW 125TH Ave
Coral Springs, FL 33076-3471
Phone
(954) 793-7931
NPI assigned
May 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 689264 FL Primary

Addresses

Primary practice location

5685 NW 125TH Ave
Coral Springs, FL 33076-3471

Mailing address

5685 NW 125TH Ave
Coral Springs, FL 33076-3471
Phone (954) 793-7931

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
689264FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1083551402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 NW 125TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763471",
            "telephone_number": "954-793-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 NW 125TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763471",
            "telephone_number": "954-793-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-GUTIERREZ",
        "first_name": "TEOFILO",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "689264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.