Juan M Gutierrez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCM0102789 Issued in FL

Practice address

280 Westward Dr
Miami Springs, FL 33166-5260

Phone

(786) 301-0744

Fax

(786) 685-2122

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Y Behavioral Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Springs, FL
  • NPI 1366967226
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1821770314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665260",
            "telephone_number": "786-391-0744",
            "fax_number": "786-685-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665260",
            "telephone_number": "786-301-0744",
            "fax_number": "786-685-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JUAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM0102789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edla Grisard, MS MFT
• Alejandro Guach Soler
• Ann Guerrero Rivera
• Nidia Gutierrez Santana
• Isabella Gutierrez
• Roger Halphen, OPTICIAN
• Shannon G Hastings, MS, PT
• Denise Haye, LCSW
• Healing Bridge Community Center Corp
• Reysi Hernandez Arcia

• Case Manager/Care Coordinator in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.