Victoriano Capio Gutierrez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME59211 Issued in FL

Practice address

2120 Sarno Rd
Melbourne, FL 32935-3084

Phone

(321) 241-6800

Fax

(321) 241-6888

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Treasure Coast Medical Associates

  • Emergency Medicine Physician
  • Jensen Beach, FL
  • NPI 1992791198
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Lakeland, FL
  • NPI 1396732541
  NPD
• Treasure Coast Medical Associates

  • Emergency Medicine Physician
  • Okeechobee, FL
  • NPI 1528455847

  Family Medicine

  NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1124080692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 S. E. 42ND TRACE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349741100",
            "telephone_number": "863-763-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353084",
            "telephone_number": "321-241-6800",
            "fax_number": "321-241-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "VICTORIANO",
        "middle_name": "CAPIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051848400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa G Gurri
• Heather Gustafson, CRNA
• Amanda Gutierrez Alvarez, APRN
• Debra Lee Gutierrez, APRN
• Osvaldo Gutierrez, S.A.C.
• Rajesh Gutta, M.D.
• Guy Yves Pelchat, DC PA
• Roxanne J Guy, MD
• Sabrina Guy
• Cheryl Guyan

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.