Provider Demographics
NPI:1366673741
Name:GUTIERREZ, RICARDO FRANCISCO (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:FRANCISCO
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SW 27TH AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2455
Mailing Address - Country:US
Mailing Address - Phone:305-444-3580
Mailing Address - Fax:305-444-1736
Practice Address - Street 1:1800 SW 27TH AVE STE 214
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2455
Practice Address - Country:US
Practice Address - Phone:305-444-3580
Practice Address - Fax:305-444-1736
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9286541363LF0000X
FLAPRN9286541207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily