Active NPI
Ramon Gutierrez, M.D., P.a.
- Clinic/Center
- Doral, FL
National Provider Identifier
1689031866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME 031422
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064965100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Ramon Gutierrez MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Miami, FL
- NPI 1326206319
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.