Evisa Guterman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3850 Bird Rd Ste 102
Miami, FL 33146-1521

Phone

(305) 448-9100

Fax

(305) 448-1050

NPI assigned

Sep 22, 2010

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

Other identifiers 1

Other names 1

• Evisa Peshtani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700956800000",
    "number": "1194033308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461521",
            "telephone_number": "305-448-9100",
            "fax_number": "305-448-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461521",
            "telephone_number": "305-448-9100",
            "fax_number": "305-448-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTERMAN",
        "first_name": "EVISA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA-9114739",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVISA",
            "last_name": "PESHTANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benson Gustave
• Gustavo de la Portilla MD PA
• Gustavo G Leon MD PA
• Barry E Gustin, M.D.
• Cosmin G Guta, MD
• Yoram Dov Gutfreund, M.D.
• Morris Edward Guthrie III, MD
• Marcella Gutierres de Britto, LCSW
• Cecilia Lazara Gutierrez Alonso
• Jose Carlos Gutierrez Alonso

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; 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.