Marisela C Jaquez-Gutierrez LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME 70979 Issued in FL

Legal business name

MARISELA C JAQUEZ-GUTIERREZ LLC

Practice address

8181 NW 36TH St
Suite 1906
Doral, FL 33166-6671

Phone

(305) 392-6784

Fax

(305) 392-6784

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marisela C Jaquez-Gutierrez, M.D.

Title

President

Phone

(305) 392-6784

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1770910911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 1906",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-392-6784",
            "fax_number": "305-392-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 1906",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-392-6784",
            "fax_number": "305-392-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISELA C JAQUEZ-GUTIERREZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "JAQUEZ-GUTIERREZ",
        "authorized_official_first_name": "MARISELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-392-6784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 70979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006685400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noemi Marimon
• Yandy Marin Gonzalez
• Yusniel Marin, MA
• Adrian Alberto Marino Nunez
• Davel Enrique Marino
• Yamile Marles, M.D.
• Hala Marouf
• Carla Marques
• Yoanna Marquez Ramos
• Alfredo T Marquez

• Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.