Organization Active NPI

Urgent Care Center - Juan Gutierrez, M.D.

  • Urgent Care Clinic/Center
  • Miami, FL
National Provider Identifier
1467701516
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME40749 Issued in FL
Legal business name
URGENT CARE CENTER - JUAN GUTIERREZ, M.D.
Practice address
11880 SW 40TH St Ste 404
Miami, FL 33175-3575
Phone
(305) 227-6618
Fax
(305) 227-6668
NPI assigned
Sep 5, 2012
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Juan Manuel Gutierrez, M.D.NPI 1619079084
Title
Physician
Phone
(305) 227-6618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME40749 FL Primary

Addresses

Primary practice location

11880 SW 40TH St Ste 404
Miami, FL 33175-3575

Mailing address

11880 SW 40TH St Ste 404
Miami, FL 33175-3575
Phone (305) 227-6618

Other identifiers 1

IdentifierTypeStateIssuer
068939400MedicaidFL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1467701516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753575",
            "telephone_number": "305-227-6618",
            "fax_number": "305-227-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753575",
            "telephone_number": "305-227-6618",
            "fax_number": "305-227-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CENTER - JUAN GUTIERREZ, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-227-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME40749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068939400",
            "state": "FL"
        }
    ],
    "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 Feb 11, 2014; 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.