Miguel a Gutierrez-Diaz, D.O., PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIGUEL A GUTIERREZ-DIAZ, D.O., PLLC

Practice address

4700 Bayou Blvd Ste 2C
Pensacola, FL 32503-2670

Phone

(850) 501-3935

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Eddy Gutierrez-Diaz

Title

Office Manager

Phone

(850) 501-3935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21815/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Gutierrez-Diaz, D.O.

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1194777912
  Medicare reassignment NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1114542867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD STE 2C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032670",
            "telephone_number": "850-501-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD STE 2C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032670",
            "telephone_number": "850-501-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A GUTIERREZ-DIAZ, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ-DIAZ",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-501-3935"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Middendorf, D.O.
• Charles E. Middleton, CRNA
• Kalyn M. Midgett, PT
• Midtown Vision LLC
• Thomas G Mignerey, MD
• Brandy Mihaly
• Brandy M Miles, PA
• Candace Miles
• Deborah M Miles, LCSW
• Karen S Miles, RPH

• Primary Care Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.