Individual provider Active NPI

Guilliana Del Carmen Matute Gonzalez, SA/C

  • Surgical Assistant
  • Coral Springs, FL
National Provider Identifier
1235990144
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
24-110
Practice address
11431 NW 35TH St
Coral Springs, FL 33065-2602
Phone
(754) 423-4451
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 24-110 Primary

Addresses

Primary practice location

11431 NW 35TH St
Coral Springs, FL 33065-2602

Mailing address

11431 NW 35TH St
Coral Springs, FL 33065-2602
Phone (754) 423-4451

Other names 1

  • Gigi Matute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1235990144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11431 NW 35TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652602",
            "telephone_number": "754-423-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 NW 35TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652602",
            "telephone_number": "754-423-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUTE GONZALEZ",
        "first_name": "GUILLIANA",
        "middle_name": "DEL CARMEN",
        "credential": "SA/C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "24-110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIGI",
            "last_name": "MATUTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.