Enrique G Gutierrez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ENRIQUE G GUTIERREZ MD PA

Practice address

907A N Central Ave
Kissimmee, FL 34741-5029

Phone

(407) 846-2050

Fax

(407) 846-0338

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Enrique G. Gutierrez, M.D.NPI 1407951304

Title

President

Phone

(407) 891-1931

Specialties & licenses 1

Addresses

Other names 1

• Gutierrez-Perez Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Enrique G Gutierrez, M.D.

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1407951304
  Medicare reassignment NPD Authorized official
• Mario R Sobrino, MD

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1154497345
  Medicare reassignment NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190505600000",
    "number": "1457559221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 SIR LANCELOT CIR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347727017",
            "telephone_number": "407-891-1931",
            "fax_number": "407-891-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907A N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-846-2050",
            "fax_number": "407-846-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE G GUTIERREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-09-23",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-891-1931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gutierrez-Perez Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Endo Surgical Center of Kissimmee, PLLC
• Carmen Milagros England, MFCC, ED. D LPC
• Gemara J England
• Enlightenment to Adornment LLC
• Gregory Enos, DC
• Cheryl C Entner, LMHC
• Thomas Patrick Entwistle, D.C.
• Meredith Robin Epstein, DMD
• Erlinda P. Zaballero, M.D. LLC
• Mariam Adam Esat, MD

• Family Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, 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 Sep 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.