MEDICARE: LEONEL GUTIERREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	126800000X	Dental Assistant	DR139239	FL

General Provider Information

NPI Number	:	1548141831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONEL GUTIERREZ

Provider Business Mailing Address
First Line	:	3780 W DAFFODIL LN
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3239
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3780 W DAFFODIL LN
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3239
Country	:	US
Telephone Number	:	954-818-7166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

Similar Medicare Providers

1174450118 — SALUD ACO 1 LLC
Practice Location Address:

3350 SW 148TH AVE STE 202
MIRAMAR, FL
33027-3239

Practice Phone: 954-231-5141
Practice Fax:

1366016305 — SALUD HEALTHCARE, LLC
Practice Location Address:

3350 SW 148TH AVE STE 202
MIRAMAR, FL
33027-3239

Practice Phone: 954-231-5148
Practice Fax:

1073440970 — ANTONELLA VALENCIA
Practice Location Address:

10131 SW 18TH ST
MIRAMAR, FL
33025-6536

Practice Phone: 786-860-0005
Practice Fax:

1831281146 — OPTUM INFUSION SERVICES 203, INC.
Practice Location Address:

9984 PREMIER PKWY
MIRAMAR, FL
33025

Practice Phone: 800-670-6922
Practice Fax: 855-407-1229

1093714495 — UNIVITA OF FLORIDA, INC.
Practice Location Address:

3700 COMMERCE PKWY
MIRAMAR, FL
33025-3912

Practice Phone: 954-333-1000
Practice Fax:

1578564159 — MR. ALBERT CHARLES BOOSE RPH
Practice Location Address:

11411 SW 21ST ST
MIRAMAR, FL
33025-6624

Practice Phone: 954-436-9724
Practice Fax:

Directions to “ LEONEL GUTIERREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.