Pedro Angel Gutierrez, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

12187 Beach Blvd Ste 10
Jacksonville, FL 32246-0620

Phone

(904) 619-8687

NPI assigned

Jan 16, 2017

Last updated

Jan 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Health Pro LLC

  dba Health Pro Medical

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1376053124
  NPD (past) Authorized official

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1972049864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12187 BEACH BLVD STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460620",
            "telephone_number": "904-619-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12187 BEACH BLVD STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460620",
            "telephone_number": "904-619-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "PEDRO",
        "middle_name": "ANGEL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena H Gutierrez, RN
• Francisco Javier Gutierrez, D.O.
• Jennifer Gutierrez
• Jennifer Gutierrez, MS, LMHC
• Mario Clark Gutierrez, M.D.
• Cristina M Guy
• Candace Yvette Guyton, RPH
• Rossy Marile Guzman Rodriguez, MD
• Dina A Guzman
• Michael Guzman

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.