MIGUEL A GUTIERREZ-DIAZ, D.O., PLLC
NPI 1114542867
Clinic/Center - Primary Care in Pensacola, FL
About Miguel A Gutierrez-diaz, D.o., Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIGUEL A GUTIERREZ-DIAZ, D.O., PLLC (NPI 1114542867) is a healthcare organization registered as a primary care in Pensacola, Florida and active in the NPI registry since June 2020. The organization lists Eddy Gutierrez-diaz, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miguel A Gutierrez-diaz, D.o., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Miguel A Gutierrez-Diaz, D.O., PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 A Gutierrez-Diaz, D.O., PLLC's NPI number?
The NPI number for Miguel A Gutierrez-Diaz, D.O., PLLC is 1114542867. It was assigned to this organization in the NPPES registry on June 9, 2020.
Where is Miguel A Gutierrez-Diaz, D.O., PLLC located?
Miguel A Gutierrez-Diaz, D.O., PLLC is located at 4700 Bayou Blvd Ste 2C, Pensacola, FL 32503. The listed phone number is (850) 501-3935.
What is Miguel A Gutierrez-Diaz, D.O., PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Miguel A Gutierrez-Diaz, D.O., PLLC enrolled in Medicare?
Yes. Miguel A Gutierrez-Diaz, D.O., PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Miguel A Gutierrez-Diaz, D.O., PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Miguel A Gutierrez-Diaz, D.O., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Miguel A Gutierrez-Diaz, D.O., PLLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Miguel A Gutierrez-Diaz, D.O., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Miguel A Gutierrez-Diaz, D.O., PLLC was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Miguel A Gutierrez-Diaz, D.o., Pllc · NPI 1114542867
Primary Care organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since June 9, 2020.
## Identity
- **NPI:** 1114542867 (Entity type: Organization)
- **Enumerated:** June 9, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Eddy Gutierrez-Diaz, OFFICE MANAGER
## Practice location
- **Address:** 4700 BAYOU BLVD STE 2C, Pensacola, FL 32503-2670
- **Phone:** (850) 501-3935
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114542867) · Data from the CMS NPPES public registry.