Healthcare Provider Details

I. General information

NPI: 1366673741
Provider Name (Legal Business Name): RICARDO FRANCISCO GUTIERREZ DNP, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SW 27TH AVE STE 214
MIAMI FL
33145-2455
US

IV. Provider business mailing address

1800 SW 27TH AVE STE 214
MIAMI FL
33145-2455
US

V. Phone/Fax

Practice location:
  • Phone: 305-444-3580
  • Fax: 305-444-1736
Mailing address:
  • Phone: 305-444-3580
  • Fax: 305-444-1736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9286541
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPRN9286541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: