Provider Demographics
NPI:1831757400
Name:GUTIERREZ, BEATRIZ (APRN)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14730 SW 176TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-6714
Mailing Address - Country:US
Mailing Address - Phone:786-479-5713
Mailing Address - Fax:
Practice Address - Street 1:3408 W 84TH ST STE 309
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4944
Practice Address - Country:US
Practice Address - Phone:054-765-6505
Practice Address - Fax:954-861-4522
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily