Healthcare Provider Details

I. General information

NPI: 1588283352
Provider Name (Legal Business Name): MICHAEL GUTIERREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 SW 8TH ST
CORAL GABLES FL
33134-3129
US

IV. Provider business mailing address

9990 SW 58TH ST
MIAMI FL
33173-1417
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-1620
  • Fax: 305-575-1621
Mailing address:
  • Phone: 305-586-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME161792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: