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MIGUEL EDUARDO GUTIERREZ PA
NPI 1104924034
Physician Assistant in Hialeah, FL

Active since September 21, 2006
3070 W 12TH AVE, HIALEAH, FL 33012(786) 313-0747(786) 313-0749 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miguel Eduardo Gutierrez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL EDUARDO GUTIERREZ PA (NPI 1104924034) is an individual physician assistant in Hialeah, Florida, licensed in Florida (PA9100070) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104924034
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMIGUEL EDUARDO GUTIERREZCredential: PA
Location Address3070 W 12TH AVEHialeah, FL 33012-4836
Mailing Address13204 Nw 7th LnMiami, FL 33182-2281 · (786) 313-0747 · Fax (786) 313-0749
Phone(786) 313-0747
Fax(786) 313-0749
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 13, 2008
✔ NPI 1104924034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9100070
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3070 W 12TH AVE, Hialeah, FL 33012
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Other Identifiers 1

Medicaid2926687-00FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Gutierrez's NPI number?

The NPI number for Miguel Gutierrez is 1104924034. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Miguel Gutierrez located?

Miguel Gutierrez practices at 3070 W 12th Ave, Hialeah, FL 33012. The listed phone number is (786) 313-0747.

What is Miguel Gutierrez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Miguel Gutierrez was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.