Healthcare Provider Details

I. General information

NPI: 1538080072
Provider Name (Legal Business Name): LUIS E GUTIERREZ ORANTES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 SW 288TH ST
HOMESTEAD FL
33033-1355
US

IV. Provider business mailing address

14301 SW 258TH LN APT 4101
HOMESTEAD FL
33032-6755
US

V. Phone/Fax

Practice location:
  • Phone: 888-331-3060
  • Fax: 305-328-8345
Mailing address:
  • Phone: 888-331-3060
  • Fax: 305-328-8345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: