Giselle Gutierrez, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11003678 Issued in FL

Practice address

401 Coral Way, Suite 207
401 Coral Way Suite 207
Coral Gables, FL 33134

Phone

(305) 445-2941

Fax

(305) 445-7231

NPI assigned

Sep 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Children'S Skin Center PAGroup PAC ID 7618944091, 7 clinicians

South Florida Dermatology Group, Inc.Group PAC ID 7618026253, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• South Florida Dermatology Group, Inc.

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1922281005
  Medicare reassignment Care Compare group NPD
• Children'S Skin Center PA

  • Pediatric Dermatology Physician
  • Miami, FL
  • NPI 1942238258
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1306494406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "305-445-2941",
            "fax_number": "305-445-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY, SUITE 207",
            "address_2": "401 CORAL WAY SUITE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-445-2941",
            "fax_number": "305-445-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 SW 120th St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331869116",
            "country_code": "US",
            "telephone_number": "305-971-1210",
            "fax_number": "305-971-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GISELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "11003678",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Alejandra Gundelach
• Jaideep Gupta, MD
• Luis Gutierrez Galatas, MD
• Maria Gutierrez-Hoang
• Anibal Gutierrez Jr., PH.D., BCBA-D
• Jeannine Gutierrez, O.D.
• Karla Gutierrez, OTR/L
• Michael Gutierrez, MD
• Yadira Gutierrez, PTA
• John M Gutowski, R.PH.

• Family Nurse Practitioner in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.