Nelly Edith Gutierrez Martinez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MDR-8002 Issued in HI

Practice address

1319 Punahou St # 741
Honolulu, HI 96826-1001

Phone

(808) 369-1265

NPI assigned

Jul 6, 2020

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Physician Services of South Texas

  dba Plastic Reconstructive Surgical Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment NPD
• Children's Physician Services of South Texas

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1801856786
  NPD
• Driscoll Childrens Hospital

  dba Driscoll Children's Hospital Rio Grande Valley

  • Children's Hospital
  • Edinburg, TX
  • NPI 1124796081
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1184242257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-369-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ MARTINEZ",
        "first_name": "NELLY",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MDR-8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gissella Gurule
• Bryan Gushiken, MD
• Clayton Yoichi Gushiken, O.D.
• Roxanne M. Gushiken, OD
• Brynn Gute
• Mary Leilani Yoshiko Gutierrez, A.P.R.N.
• Shaunna Gutina
• Sheena Mai Guyos, PHARMD
• Jennifer Guzik
• Guzman Wellness

• Pediatrics Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.