Individual provider Active NPI

Saul Guillermo Gutierrez, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1760904247
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9390647 Issued in FL
Practice address
8552 Palm Pkwy
Orlando, FL 32836-6432
Phone
(407) 730-9911
Fax
(407) 778-1479
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9390647 FL Primary

Addresses

Primary practice location

8552 Palm Pkwy
Orlando, FL 32836-6432

Mailing address

6061 Fender CT
Orlando, FL 32837-4787
Phone (407) 242-6430

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305000424 FL Practitioner - Nurse Practitioner 4385071208 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9390647FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Health Assistance LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1760904247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 FENDER CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374787",
            "telephone_number": "407-242-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 PALM PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366432",
            "telephone_number": "407-730-9911",
            "fax_number": "407-778-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SAUL",
        "middle_name": "GUILLERMO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9390647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.