Active NPI
Alejandro Gutierrez
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1518397850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9177435
- Practice address
- 651 E 25TH St
Hialeah, FL 33013-3814 - Phone
- (305) 639-6100
- NPI assigned
- Nov 23, 2013
- Last updated
- Nov 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9177435 | FL | Primary |
Addresses
Primary practice location
651 E 25TH St
Hialeah, FL 33013-3814
Mailing address
651 E 25TH St
Hialeah, FL 33013-3814
Phone (305) 528-4412
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9177435 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Current | Accepting new patients |
Locations
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385769600000",
"number": "1518397850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 E 25TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133814",
"telephone_number": "305-528-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 E 25TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133814",
"telephone_number": "305-639-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ALEJANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-23",
"last_updated": "2013-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9177435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.