Ivan Gutierrez Durruthy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN1588 Issued in FL

Practice address

9309 N Florida Ave Ste 111
Tampa, FL 33612-7237

Phone

(813) 444-9823

NPI assigned

May 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivan.gutierrez.p1@direct.caremax.nextgenshare.com
• Direct secure messaging: ivan.gutierrezdurruthy@wwmp.eclinicaldirectplus.com

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.

• Guidewell Sanitas I, LLC

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1356915839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 N FLORIDA AVE STE 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127237",
            "telephone_number": "813-444-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 N FLORIDA AVE STE 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127237",
            "telephone_number": "813-444-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ DURRUTHY",
        "first_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16427-I",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "000964-PA",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Guthrie
• Brian Guthrie, PHARM.D.
• Morgan Le Anne Guthrie, ARNP
• Zoilamis Gutierrez Candelario, NP-C
• Leduan Gutierrez Daniel
• Seyli Maria Gutierrez Moreno I
• Aymee Gutierrez Morgado
• Jean Carlos Gutierrez-Silva, MD
• Alexis Gutierrez, DDS
• Ana Isabell Gutierrez

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.

Verify at the official NPI Registry.