FREDY GUTIERREZ MUNOZ CSA
NPI 1114511045
Specialist/Technologist, Other - Surgical Assistant in Miami, FL

Q: What is Fredy Gutierrez Munoz's NPI number?

The NPI number for Fredy Gutierrez Munoz is 1114511045. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Q: What is Fredy Gutierrez Munoz's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Active since February 22, 2021PECOS Enrolled

11750 SW 40TH ST, MIAMI, FL 33175(305) 223-3000 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fredy Gutierrez Munoz Csa NPPES

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

FREDY GUTIERREZ MUNOZ CSA (NPI 1114511045) is an individual surgical assistant in Miami, Florida, licensed in Florida (20-360) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114511045

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameFREDY GUTIERREZ MUNOZCredential: CSA

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing Address3 Maryland Farms Ste 200Brentwood, TN 37027-5780 · (800) 348-4565 · Fax (888) 203-4247

Phone(305) 223-3000

Sole ProprietorNo

Enumeration DateFebruary 22, 2021

NPPES CertifiedFebruary 22, 2021

✔ NPI 1114511045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in FL · 20-360

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

11750 SW 40TH ST, Miami, FL 33175

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredy Gutierrez Munoz Csa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)