Individual provider Active NPI

Gil Fabros Gutierrez, M.D.

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1659427532
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME52075 Issued in FL
Practice address
1950 Laurel Manor Dr Ste 210
The Villages, FL 32162-5602
Phone
(352) 350-8800
Fax
(844) 388-6186
NPI assigned
Jan 25, 2007
Last updated
May 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME52075 FL Primary
Internal Medicine Physician 207R00000X 45263 KY

Addresses

Primary practice location

1950 Laurel Manor Dr Ste 210
The Villages, FL 32162-5602

Mailing address

1950 Laurel Manor Dr Ste 210
The Villages, FL 32162-5602
Phone (352) 350-8800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000738 FL Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5597790568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1950 Laurel Manor Dr
Suite 210
The Villages, FL 32162-5602

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Oct 1, 2013 Accepting new patients
Greenview Primecare, LLC. Internal Medicine Past Accepting new patients
Gutierrez & Faxas, P.a. PastSince Sep 28, 2005 Accepting new patients
Luis F Gutierrez MD LLC Past Accepting new patients
Medical Visits at Home, Inc Past Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

1950 Laurel Manor Dr
Ste 210
The Villages, FL 32162
Phone (352) 274-9900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1659427532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR STE 210",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625602",
            "telephone_number": "352-350-8800",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR STE 210",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625602",
            "telephone_number": "352-350-8800",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GIL",
        "middle_name": "FABROS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME52075",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.