Provider Demographics
NPI:1124366471
Name:GUTIERREZ, JULIO ERNESTO (ARNP)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:ERNESTO
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 SW 185TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3215
Mailing Address - Country:US
Mailing Address - Phone:305-969-5382
Mailing Address - Fax:305-969-5382
Practice Address - Street 1:1443 NE 8 STREET
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033
Practice Address - Country:US
Practice Address - Phone:305-246-3864
Practice Address - Fax:305-246-1897
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9246339363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health