Diego Gumucio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19730 Issued in FL

Practice address

1255 Collins Ave Apt 501
Miami Beach, FL 33139-4640

Phone

(415) 900-9282

NPI assigned

Sep 22, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1235800970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 COLLINS AVE APT 501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394640",
            "telephone_number": "415-900-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 COLLINS AVE APT 501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394640",
            "telephone_number": "415-900-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMUCIO",
        "first_name": "DIEGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joshua Guerrero, MSN, FNP-C
• Cosette D Guevara, LMT
• Gilad Shalom Guez, MD
• Guillermo L Font MD PA
• Blake Guillory II, DO
• Ramiro M Gumucio, M.D.
• Jeffrey T. Guterman, PH.D.
• Valeria Gutierrez de Pineres, MD
• Aliette Gutierrez, PA-C
• Eric Jorge Gutierrez, DO

• All providers in Miami Beach, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.