Individual provider Active NPI

Suyen Marino Gutierrez

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1871331777
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033156 Issued in FL
Practice address
625 E Twiggs St Ste 103
Tampa, FL 33602-3910
Phone
(813) 228-7696
Fax
(813) 228-0677
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033156 FL Primary
General Practice Registered Nurse 163WG0000X 11033156 FL

Addresses

Primary practice location

625 E Twiggs St Ste 103
Tampa, FL 33602-3910

Mailing address

625 E Twiggs St Ste 103
Tampa, FL 33602-3910
Phone (813) 228-7696

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
I20260512004071 FL Practitioner - Nurse Practitioner 1951870633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3815 Maryweather LN
Suite 102
Wesley Chapel, FL 33544-7792

625 E Twiggs St
Suite 103
Tampa, FL 33602-3910

8319 N Newport Ave
Tampa, FL 33604-2816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11033156FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Electrodiagnostics PA CurrentSince Apr 13, 2026 Accepting new patients
Columbia Anesthesia Services, LLC Past Accepting new patients

Locations

3651 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (813) 228-7696

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

2914 N Boulevard
Tampa, FL 33602
Phone (813) 228-7696

Organizations & group practices 2

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1871331777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023910",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023910",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO GUTIERREZ",
        "first_name": "SUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033156",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "11033156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.