Active NPI
Aniet Manent Gutierrez, MD
- General Practice Physician
- Miami Lakes, FL
National Provider Identifier
1295224079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1523
- Practice address
- 14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568 - Phone
- (305) 351-7020
- Fax
- (305) 827-8563
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | TRN37416 | FL | |
| General Practice Physician | 208D00000X | ACN1523 | FL | Primary |
Addresses
Primary practice location
14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568
Mailing address
10794 N Kendall Dr Apt B2
Miami, FL 33176-1418
Phone (786) 803-5363
Other practice location 1
1475 W 49th Pl
Hialeah, FL 33012-3113
Phone (305) 558-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023316200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730004587 | FL | Order and Referring Only - Internal Medicine | 0143737312 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN37416 | FL | MD | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
| ACN1523 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Palliative Care Services, Inc. | Current | Accepting new patients |
Locations
1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318
14875 NW 77th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 351-7057
Organizations & group practices 1
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Miami Lakes, FL
- NPI 1861822363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1295224079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10794 N KENDALL DR APT B2",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761418",
"telephone_number": "786-803-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14875 NW 77TH AVE STE 100",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142568",
"telephone_number": "305-351-7020",
"fax_number": "305-827-8563"
}
],
"practiceLocations": [
{
"address_1": "1475 W 49th Pl",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330123113",
"country_code": "US",
"telephone_number": "305-558-2500",
"fax_number": "786-456-8404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANENT GUTIERREZ",
"first_name": "ANIET",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "FL",
"license": "TRN37416",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023316200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.