Organization Active NPI

Ramon Gutierrez, M.D., P.a.

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1689031866
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME 031422 Issued in FL
Legal business name
RAMON GUTIERREZ, M.D., P.A.
Practice address
3900 NW 79TH Ave Ste 500
Doral, FL 33166-6549
Phone
(786) 717-6868
Fax
(786) 717-6867
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Ramon M Gutierrez, M.D.
Title
President
Phone
(305) 606-0582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME 031422 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 500
Doral, FL 33166-6549

Mailing address

3900 NW 79TH Ave Ste 500
Doral, FL 33166-6549
Phone (786) 717-6868

Other identifiers 1

IdentifierTypeStateIssuer
064965100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ramon Gutierrez MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3900 NW 79th Ave
Ste 500
Doral, FL 33166
Phone (305) 591-4181

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1689031866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 500",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666549",
            "telephone_number": "786-717-6868",
            "fax_number": "786-717-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 500",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666549",
            "telephone_number": "786-717-6868",
            "fax_number": "786-717-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON GUTIERREZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-606-0582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 031422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064965100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.