Individual provider Active NPI

Ricardo Gutierrez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1841071578
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11029110 Issued in FL
Practice address
3250 Mary St Ste 300
Miami, FL 33133-5293
Phone
(305) 908-1115
Fax
(305) 675-3135
NPI assigned
Oct 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11029110 FL Primary

Addresses

Primary practice location

3250 Mary St Ste 300
Miami, FL 33133-5293

Mailing address

8332 Commerce Way Apt 412
Miami Lakes, FL 33016-1634
Phone (786) 800-8768

Other practice location 1

8332 Commerce Way Apt 412
Miami Lakes, FL 33016-1634
Phone (786) 800-8768

Other practice location 2

4410 W 16th Ave # Bays3267
Hialeah, FL 33012-7100
Phone (305) 908-1115

Other practice location 3

680 N University Dr
Pembroke Pines, FL 33024-6738
Phone (954) 981-2555

Other practice location 4

363 S Homestead Blvd
Homestead, FL 33030-7309
Phone (305) 908-1115

Other practice location 5

8300 W Flagler St Ste 210
Miami, FL 33144-6002
Phone (305) 908-1115

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
I20240612000822 FL Practitioner - Nurse Practitioner 4587106042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elevate Psychiatry LLCGroup PAC ID 1254696297, 27 clinicians

Practice addresses (Care Compare)

3250 Mary St
Suite 300
Miami, FL 33133-5293
Phone 3059081115324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029110FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ep Facility LLC Single Specialty CurrentSince Jul 15, 2024 Accepting new patients
Elevate Psychiatry LLC Single Specialty CurrentSince Jul 15, 2024 Accepting new patients
Cano Health, LLC Single Specialty Past Accepting new patients

Locations

8200 NW 41st St
Ste 300
Doral, FL 33166

8300 W Flagler St
Ste 210
Miami, FL 33144
Phone (305) 553-0270

3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1841071578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 COMMERCE WAY APT 412",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161634",
            "telephone_number": "786-800-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MARY ST STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335293",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8332 Commerce Way Apt 412",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161634",
            "country_code": "US",
            "telephone_number": "786-800-8768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 W 16th Ave # Bays3267",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127100",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246738",
            "country_code": "US",
            "telephone_number": "954-981-2555",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 S Homestead Blvd",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330307309",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 W Flagler St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331446002",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "RICARDO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.