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PURA ISABEL GUTIERREZ MIRABAL MD
NPI 1811529944
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since February 06, 2020PECOS Enrolled
1 WYOMING ST, DAYTON, OH 45409(937) 208-2850(937) 208-2752 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2023, Mar 10, 2020, Feb 7, 2020 (3 updates tracked since 2020).

About Pura Isabel Gutierrez Mirabal Md NPPES

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

PURA ISABEL GUTIERREZ MIRABAL MD (NPI 1811529944) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811529944
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePURA ISABEL GUTIERREZ MIRABALCredential: MD
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address1 Wyoming St, Berry Ground 020Dayton, OH 45409-2722 · (937) 208-2850 · Fax (937) 208-2752
Phone(937) 208-2850
Fax(937) 208-2752
Sole ProprietorNo
Enumeration DateFebruary 6, 2020
Last NPPES UpdateMay 23, 20233 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1811529944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 WYOMING ST, Dayton, OH 45409
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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)

Pura Isabel Gutierrez Mirabal Md 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.

DANIEL NGUYEN
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3882
KATHY WAYMIRE CRNA
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (800) 394-4445
DR. RORY JON PEPPARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Montgomery County (937) 208-2907
DR. DANIEL PHILLIP PITSTICK D.O.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3356
DR. WILLIAM R. MARRIOTT M.D.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (513) 281-4400
MIAMI VALLEY HOSPITAL
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-8000
LEILA CONSTANCE TOU
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. JARED COTTINGIM RPH
Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3195

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 Pura Gutierrez Mirabal's NPI number?

The NPI number for Pura Gutierrez Mirabal is 1811529944. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Pura Gutierrez Mirabal located?

Pura Gutierrez Mirabal practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-2850.

What is Pura Gutierrez Mirabal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pura Gutierrez Mirabal enrolled in Medicare?

Yes. Pura Gutierrez Mirabal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pura Gutierrez Mirabal was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.