Individual provider Active NPI

Liliana D Gutierrez, M.D.

  • Pediatric Infectious Diseases Physician
  • Gainesville, FL
National Provider Identifier
1083605380
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
ME73788 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-1141
Phone
(352) 294-5252
Fax
(352) 294-8068
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01051753 IN
Pediatric Infectious Diseases Physician 2080P0208X ME73788 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-1141

Mailing address

PO Box 100296
Gainesville, FL 32610-1141
Phone (352) 294-5252

Other identifiers 3

IdentifierTypeStateIssuer
275347200MedicaidFL
ME73788OtherFLMEDICAL LICENSE
200352190MedicaidIN

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
I20061011000313 FL Practitioner - Pediatric MedicinePractitioner - Infectious Disease 8527064708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051753INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2011 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 29, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 29, 2023 Accepting new patients
Orlando Health Medical Group Inc Pediatrics CurrentSince Jan 1, 2011 Accepting new patients
Orlando Health Inc Pediatrics Past Accepting new patients
Osler Medical Inc Past Accepting new patients
Orlando Health Inc Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2290 W Eau Gallie Blvd
Ste 205A
Melbourne, FL 32935
Phone (321) 255-2665

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Interoperability endpoints

  • Direct secure messaging: lgutierrez624315@direct.shands.ufl.edu
  • Direct secure messaging: lgutierrezpalti26227@epicdirect.hf.org
  • Direct secure messaging: lgutierrez25821@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1083605380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100296",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101141",
            "telephone_number": "352-294-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101141",
            "telephone_number": "352-294-5252",
            "fax_number": "352-294-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LILIANA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01051753",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "ME73788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275347200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME73788",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200352190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.