Individual provider Active NPI

Maria Del Carmen Gutierrez, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1346460532
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME100361 Issued in FL
Practice address
10621 N Kendall Dr Ste 113
Miami, FL 33176-1549
Phone
(786) 397-2588
Fax
(305) 670-6007
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME100361 FL Primary

Addresses

Primary practice location

10621 N Kendall Dr Ste 113
Miami, FL 33176-1549

Mailing address

10621 N Kendall Dr Ste 113
Miami, FL 33176-1549
Phone (305) 670-6006

Other identifiers 3

IdentifierTypeStateIssuer
16528OtherPRLICENCE
ME100361OtherFLFLORIDA LICENSE
281291603MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami Health Information Exchange (HIE)

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100361FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin Cordero MD PA Pediatrics Past Accepting new patients
Gutierrez Family Medical Center Pediatrics Past Accepting new patients
Vitalmd Group Holding LLC Pediatrics PastSince May 17, 2020 Accepting new patients

Organizations & group practices 3

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1346460532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761549",
            "telephone_number": "305-670-6006",
            "fax_number": "305-670-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761549",
            "telephone_number": "786-397-2588",
            "fax_number": "305-670-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME100361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "16528",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME100361",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281291603",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10621 N Kendall Dr Ste 113",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331761549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 14, 2020; 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.