Individual provider Active NPI

Aniet Manent Gutierrez, MD

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1295224079
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1523 Issued in FL
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

Updated by the provider on May 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
023316200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730004587 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0143737312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN37416FLMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
ACN1523FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Palliative Care Services, Inc. CurrentSince May 19, 2024 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.

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

Verify at the official NPI Registry.