DR. LUIS FERNANDO GUTIERREZ (NPI# 1003911975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003911975 |
| Entity Type | Individual |
| Full Name | DR. LUIS FERNANDO GUTIERREZ |
| Other Name | CORAL SPRINGS WELLNE CENTER |
| Credential | MD |
| Practice Address |
9690 W Sample Rd Ste 101 Coral Springs FL 33065-4031 |
| Mailing Address |
9690 W Sample Rd Ste 101-102 Coral Springs FL 33065-4046 |
| Practice Telephone | 9543468800 |
| Practice Fax Number | 9543468280 |
| Mailing Telephone | 9543468800 |
| Mailing Fax Number | 9543468280 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME94423 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CLIA | 10D0722060 | 01 |
| FL | 000052500 | 05 | |
| FL | CAQH | 11936941 | 01 |
| FL | ME LICENSE | ME94423 | 01 |
| FL | MEDICARE | 921426220995003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447568639 | Luis Antonio Gutierrez | Surgery | 2101 Campindian Head Rd., Land O' Lakes, FL 34634-0000 | 2010-09-22 |
| 1881815702 | Luis F. Gutierrez | Dentist | 1120 S Allendale Ave, Sarasota, FL 34237-8606 | 2007-05-01 |
| 1952961096 | Luis Nain Gutierrez | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2019-06-20 |
| 1295106391 | Luis Carlos Gutierrez | Physician Assistant | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2015-10-14 |
| 1023378841 | Luis Balmore Gutierrez | Radiology | 100 W California Blvd, Pasadena, CA 91105 | 2012-05-26 |
| 1083938708 | Luis Enrique Gutierrez | Internal Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2010-03-24 |
| 1356558456 | Luis V Gutierrez | Preventive Medicine | Hospital Industrial-centro Medico, Bo. Monacillos, San Juan, PR 00936 | 2007-05-17 |
| 1124037668 | Luis Gutierrez | Psychiatry & Neurology | 70 Graemont Ln, Earlysville, VA 22936-2456 | 2006-08-05 |
| 1801882022 | Luis C Gutierrez | Psychiatry & Neurology | 379 6th Ave W, Bradenton, FL 34205-8820 | 2005-09-22 |
| Street Address |
9690 W SAMPLE RD STE 101 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050918 | Ingrid Rizo | Nurse Practitioner | 9690 W Sample Rd Ste 101, Coral Springs, FL 33065-4031 | 2020-07-09 |
| 1326542747 | Terrie Jennifer Dufort | Nurse Practitioner | 9690 W Sample Rd Ste 101, Coral Springs, FL 33065-4031 | 2018-03-20 |
| 1235457995 | Drew A. Sax, O.d.,p.a. | Community Based Residential Treatment Facility, Mental Illness | 9690 W Sample Rd Ste 101, Coral Springs, FL 33065-4031 | 2010-05-05 |
| 1861617177 | Drew A. Sax | Optometrist | 9690 W Sample Rd Ste 101, Coral Springs, FL 33065-4031 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306314216 | Denajets Pllc | Family Medicine | 5491 N University Dr Ste 202b, Coral Springs, FL 33067-4644 | 2018-11-08 |
| 1841362282 | Edward Abraham Moses | Family Medicine | 11161 Nw 26th Dr, Coral Springs, FL 33065-3567 | 2006-11-14 |
| 1164687315 | Luis F Gutierrez | Family Medicine | 10000 W Sample Rd, Ste A, Coral Springs, FL 33065-3936 | 2008-07-26 |
| 1740459924 | Joshua Rycus Do | Family Medicine | 9750 Nw 33rd St, Suite 114, Coral Springs, FL 33065-4042 | 2008-02-21 |
| 1639235757 | Daniel S Hurwitz Md Pa | Family Medicine | 3080 Nw 99th Ave, Suite 200, Coral Springs, FL 33065-4038 | 2007-01-01 |
| 1730111287 | Joshua Marc Rycus | Family Medicine | 9750 Nw 33rd St, Suite # 114, Coral Springs, FL 33065-4042 | 2006-07-07 |
| 1104870856 | Physicians Care Pluc Inc | Family Medicine | 9750 Nw 33rd St, 214, Coral Springs, FL 33065-4042 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
Please comment or provide details below to improve the information on DR. LUIS FERNANDO GUTIERREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.