JUAN M GUTIERREZ MD PA
NPI 1417363185
Clinic/Center - Primary Care in Miami, FL
About Juan M Gutierrez Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN M GUTIERREZ MD PA (NPI 1417363185) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since July 2014. The organization lists Juan M Gutierrez, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Juan M Gutierrez Md Pa 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 Juan M Gutierrez MD PA, 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 Juan M Gutierrez MD PA's NPI number?
The NPI number for Juan M Gutierrez MD PA is 1417363185. It was assigned to this organization in the NPPES registry on July 2, 2014.
Where is Juan M Gutierrez MD PA located?
Juan M Gutierrez MD PA is located at 11880 SW 40th St Suite 404, Miami, FL 33175. The listed phone number is (305) 227-6618.
What is Juan M Gutierrez MD PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Juan M Gutierrez MD PA enrolled in Medicare?
Yes. Juan M Gutierrez MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Juan M Gutierrez MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Juan M Gutierrez MD PA. 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.
When was this NPI record last updated?
The NPPES record for Juan M Gutierrez MD PA was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Juan M Gutierrez Md Pa · NPI 1417363185
Primary Care organization in Miami, Florida. Organization record, active in the CMS NPPES registry since July 2, 2014.
## Identity
- **NPI:** 1417363185 (Entity type: Organization)
- **Enumerated:** July 2, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Juan Gutierrez, PHYSICIAN
## Practice location
- **Address:** 11880 SW 40TH ST, SUITE 404, Miami, FL 33175-3584
- **Phone:** (305) 227-6618 · **Fax:** (305) 227-6668
## 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:** August 6, 2015
- **Other identifiers:** Medicare PIN IF405A (FL); Medicaid 068939400 (FL); Medicare UPIN D63765 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1417363185) · Data from the CMS NPPES public registry.