Healthcare Provider Details

I. General information

NPI: 1255802997
Provider Name (Legal Business Name): YOHELI M GUTIERREZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YOHELI M NUNEZ BATISTA

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 NW 53RD ST STE 102
DORAL FL
33166-4681
US

IV. Provider business mailing address

7950 NW 53RD ST STE 102
DORAL FL
33166-4681
US

V. Phone/Fax

Practice location:
  • Phone: 786-631-3222
  • Fax: 786-245-4721
Mailing address:
  • Phone: 786-631-3222
  • Fax: 786-245-4721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number9428408
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: