Individual provider Active NPI

Madeleine Gutierrez

  • Endocrinology, Diabetes & Metabolism Physician
  • Humacao, PR
National Provider Identifier
1427235092
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
16953 Issued in PR
Practice address
150 Calle Font Martelo
Humacao, PR 00791-3346
Phone
(787) 861-7777
NPI assigned
Jan 26, 2008
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 16953 PR Primary
General Practice Physician 208D00000X 16953 PR

Addresses

Primary practice location

150 Calle Font Martelo
Humacao, PR 00791-3346

Mailing address

419 Calle San Julian
Sagrado Corazon
San Juan, PR 00926-4243
Phone (787) 635-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20090205000332 PR Practitioner - EndocrinologyPractitioner - General PracticePractitioner - Internal Medicine 5294899225 Practice locations: Humacao, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1427235092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CALLE SAN JULIAN",
            "address_2": "SAGRADO CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264243",
            "telephone_number": "787-635-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913346",
            "telephone_number": "787-861-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MADELEINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "16953",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.