Damaris Gutierrez, ITDS & RBT

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

8491 NW 17TH St Ste 110
Doral, FL 33126-1025

Phone

(305) 456-5542

Fax

(786) 598-7590

NPI assigned

Mar 11, 2022

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1164170932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W 9TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125010",
            "telephone_number": "305-794-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-456-5542",
            "fax_number": "786-598-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DAMARIS",
        "credential": "ITDS & RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-89497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105159600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria C Gutierrez Farrat
• Aniley Gutierrez Lopez, CBHCM
• Jailine Gutierrez Morales
• Barbaro Humberto Gutierrez Orizondo
• Sandra Gutierrez Ramirez
• Isabel Alexandrea Gutierrez, DOM, AP
• Juliana Gutierrez
• Karen Lainsette Gutierrez
• Laura Manuela Gutierrez
• Liah Gutierrez

• Early Intervention Provider Agency in Doral, FL
• Providers in Doral, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.