Organization Active NPI

Gutierrez Medical Center, LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1750729075
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GUTIERREZ MEDICAL CENTER, LLC
Practice address
601 S Semoran Blvd
Orlando, FL 32807-3120
Phone
(407) 203-6898
Fax
(407) 203-6899
NPI assigned
Jun 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Jesus Gutierrez Stone, MDNPI 1396990461
Title
Owner
Phone
(407) 203-6898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

601 S Semoran Blvd
Orlando, FL 32807-3120

Mailing address

601 S Semoran Blvd
Orlando, FL 32807-3120
Phone (407) 203-6898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000943 FL Part B Supplier - Clinic/Group Practice 4789827429 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2055180Gutierrez Medical Center601 S Semoran Blvd Ste a, Orlando, FL 32807Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

601 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 203-6898

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1750729075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073120",
            "telephone_number": "407-203-6898",
            "fax_number": "407-203-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073120",
            "telephone_number": "407-203-6898",
            "fax_number": "407-203-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-08",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ STONE",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-203-6898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.