NPIMap

Organization Active NPI

Gutleber Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Homestead, FL
National Provider Identifier
1770010753
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GUTLEBER MEDICAL GROUP, INC
Practice address
139 NE 15TH St
Homestead, FL 33030-4508
Phone
(305) 247-1213
Fax
(305) 247-1213
NPI assigned
May 22, 2017
Organization subpart
Yes
Parent organization
JOHN C GUTLEBER MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Maria Elena Gutleber
Title
President
Phone
(305) 323-7455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

139 NE 15TH St
Homestead, FL 33030-4508

Mailing address

139 NE 15TH St
Homestead, FL 33030-4508
Phone (305) 247-1213

Other names 1

  • Gutleber Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John C Gutleber MD PA2 organizations share this tax ID, including this one
Part of
John C Gutleber MD PA

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1770010753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304508",
            "telephone_number": "305-247-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304508",
            "telephone_number": "305-247-1213",
            "fax_number": "305-247-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTLEBER MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN C GUTLEBER MD PA",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "GUTLEBER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-323-7455"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gutleber Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gutleber Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.