Individual provider Active NPI

Humberto Gutierrez

  • Rehabilitation Chiropractor
  • Orlando, FL
National Provider Identifier
1841413895
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
BUS-0011178 Issued in FL
Practice address
150 S Semoran Blvd
Suite 150
Orlando, FL 32807-3293
Phone
(407) 208-1384
Fax
(407) 208-1385
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X BUS-0011178 FL Primary

Addresses

Primary practice location

150 S Semoran Blvd
Suite 150
Orlando, FL 32807-3293

Mailing address

150 S Semoran Blvd
Suite 150
Orlando, FL 32807-3293
Phone (407) 208-1384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BUS-0011178FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Wellness Centers 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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1841413895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S SEMORAN BLVD",
            "address_2": "SUITE 150",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073293",
            "telephone_number": "407-208-1384",
            "fax_number": "407-208-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S SEMORAN BLVD",
            "address_2": "SUITE 150",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073293",
            "telephone_number": "407-208-1384",
            "fax_number": "407-208-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "HUMBERTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "BUS-0011178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.