Individual provider Active NPI

Elizabeth Gutierrez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1942789631
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9284523 Issued in FL
Practice address
2100 NW 107TH Ave Ste 108
Miami, FL 33172-2506
Phone
(786) 625-7100
Fax
(786) 625-7111
NPI assigned
Aug 13, 2018
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9284523 FL
Family Nurse Practitioner 363LF0000X APRN9284523 FL Primary

Addresses

Primary practice location

2100 NW 107TH Ave Ste 108
Miami, FL 33172-2506

Mailing address

18935 NW 85TH Ave Apt 1605
Hialeah, FL 33015-7244

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
I20220207000053 FL Practitioner - Nurse Practitioner 1052578838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9284523FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC Current Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Jul 8, 2024 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Jul 8, 2024 Accepting new patients
Roberto Guerra MD PA Past Accepting new patients
M.a.R.G. Home Health Care, LLC. PastSince Apr 30, 2003 Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

3138 N Federal Hwy
Lighthouse Point, FL 33064

1190 NW 95th St
Ste 105
Miami, FL 33150
Phone (305) 615-2637

13550 SW 88th St
Ste 280
Miami, FL 33186
Phone (305) 753-7350

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

9894 SW 40th St
Miami, FL 33165
Phone (305) 564-9471

9526 NE 2nd Ave
Ste 101
Miami Shores, FL 33138
Phone (305) 694-3775

1400 NE Miami Gardens Dr
Ste 105
North Miami Beach, FL 33179
Phone (305) 974-5933

2100 NW 107th Ave
Ste 108
Sweetwater, FL 33172
Phone (786) 625-7100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1942789631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18935 NW 85TH AVE APT 1605",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW 107TH AVE STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722506",
            "telephone_number": "786-625-7100",
            "fax_number": "786-625-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "9284523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9284523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.