Individual provider Active NPI

Roger Abraham Zaldivar Gutierrez Sr., FNP-C

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1285543736
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11050226 Issued in FL
Practice address
2902 NE 2ND Dr
Homestead, FL 33033-3037
Phone
(786) 837-1115
Fax
(786) 837-1115
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11050226 FL Primary

Addresses

Primary practice location

2902 NE 2ND Dr
Homestead, FL 33033-3037

Mailing address

2902 NE 2ND Dr
Homestead, FL 33033-3037

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1285543736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 NE 2ND DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 NE 2ND DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333037",
            "telephone_number": "786-837-1115",
            "fax_number": "786-837-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR GUTIERREZ",
        "first_name": "ROGER",
        "middle_name": "ABRAHAM",
        "name_suffix": "Sr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11050226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.