NPIMap

Organization Active NPI

Gutleber Cosmetic Surgical Institute Inc

  • Specialist
  • Homestead, FL
National Provider Identifier
1093064396
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0SR854 Issued in FL
Legal business name
GUTLEBER COSMETIC SURGICAL INSTITUTE INC
Practice address
139 NE 15TH St
Homestead, FL 33030-4508
Phone
(305) 247-1213
Fax
(305) 247-5701
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Maria Gutleber
Title
Administrator
Phone
(305) 247-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0SR854 FL Primary

Addresses

Primary practice location

139 NE 15TH St
Homestead, FL 33030-4508

Mailing address

139 NE 15TH St
Homestead, FL 33030-4508
Phone (305) 247-1213

National Provider Directory

National Provider Directory
Tax ID family
Gutleber Cosmetic Surgical Institue Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1093064396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304508",
            "telephone_number": "305-247-1213",
            "fax_number": "305-247-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304508",
            "telephone_number": "305-247-1213",
            "fax_number": "305-247-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTLEBER COSMETIC SURGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "GUTLEBER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-247-1213"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0SR854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.