Organization Active NPI

Myfloridaclinic PA

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1336663541
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9286541 Issued in FL
Legal business name
MYFLORIDACLINIC PA
Practice address
1800 SW 27TH Ave Ste 214
Miami, FL 33145-2455
Phone
(305) 444-3580
Fax
(305) 444-1736
NPI assigned
Jul 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ricardo Francisco Gutierrez, ARNPNPI 1366673741
Title
Ceo
Phone
(786) 923-7403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 9286541 FL Primary

Addresses

Primary practice location

1800 SW 27TH Ave Ste 214
Miami, FL 33145-2455

Mailing address

1800 SW 27TH Ave Ste 214
Miami, FL 33145-2455
Phone (305) 444-3580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336663541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452455",
            "telephone_number": "305-444-3580",
            "fax_number": "305-444-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452455",
            "telephone_number": "305-444-3580",
            "fax_number": "305-444-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYFLORIDACLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-923-7403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9286541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.