DR. MARISELA C JAQUEZ GUTIERREZ (NPI# 1720015381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720015381 |
| Entity Type | Individual |
| Full Name | DR. MARISELA C JAQUEZ GUTIERREZ |
| Credential | MD |
| Practice Address |
8181 Nw 36th St S 18 Doral FL 33166-6671 |
| Mailing Address |
11341 Nw 50th Ter Doral FL 33178-3545 |
| Practice Telephone | 3053926784 |
| Mailing Telephone | 3053926784 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME70979 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2510987-00 | 05 |
| Street Address |
8181 NW 36TH ST S 18 |
| City | DORAL |
| State | FL |
| Zip Code | 33166-6671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168386 | Spring Rehab Center Inc | Clinic/Center | 8181 Nw 36th St, Unit 4, Doral, FL 33166-6671 | 2006-01-12 |
| 1962976787 | Malena Pulido | Occupational Therapist | 8181 Nw 36th St, Doral, FL 33166-6671 | 2019-01-15 |
| 1003303041 | Melinda Guerra | Occupational Therapy Assistant | 8181 Nw 36th St, Doral, FL 33166-6671 | 2018-04-16 |
| 1437679065 | Leonardo Daniel Rivas | Occupational Therapy Assistant | 8181 Nw 36th St, Doral, FL 33166-6671 | 2017-06-24 |
| 1790214088 | Alina Adriana Reyes | Occupational Therapist | 8181 Nw 36th St, Doral, FL 33166-6671 | 2017-06-08 |
| 1912443698 | Hibiscus Medical Center Inc | Clinic/Center | 8181 Nw 36th St, Suite 1004, Doral, FL 33166-6671 | 2017-01-18 |
| 1376094755 | Ap & Jl Medical Center Inc | Clinic/Center | 8181 Nw 36th St, Suite 11, Doral, FL 33166-6671 | 2016-10-20 |
| 1770034118 | Primary Care Partners LLC | Exclusive Provider Organization | 8181 Nw 36th St, Suite 23-24, Doral, FL 33166-6671 | 2016-10-20 |
| 1407307440 | Skylight Medical Center Inc | Clinic/Center | 8181 Nw 36th St, Suite 11, Doral, FL 33166-6671 | 2016-10-14 |
| 1891245924 | Skylight Medical Center Inc | Clinic/Center | 8181 Nw 36th St, Suite 11, Doral, FL 33166-6671 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
| Find all providers in zip 33166 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092759 | Gold Coast Physician Group Inc. | General Practice | 8181 Nw 36th St Ste 14e, Doral, FL 33166-6646 | 2020-01-14 |
| 1194105726 | Medical Policlinic Inc | General Practice | 9300 Nw 25th St Ste 106, Doral, FL 33172-1506 | 2015-06-09 |
| 1316325152 | Universal Medical & Therapy Inc | General Practice | 3900 Nw 79th Ave Ste 476a, Doral, FL 33166-6556 | 2015-05-13 |
| 1295163574 | Peoples Rehab Team Inc | General Practice | 1414 Nw 107th Ave Ste 210, Doral, FL 33172-2741 | 2013-10-23 |
| 1578832085 | Ines G Azcoitia | General Practice | 4878 Nw 108 Court, Doral, FL 33178-4331 | 2011-12-29 |
| 1649469958 | Atlantic Medical Specialty, Inc | General Practice | 8009 Nw 36 Street, Suite 234, Doral, FL 33166 | 2007-10-23 |
| 1033304787 | Airport Medical Solutions, Inc. | General Practice | 2404 Nw 87th Pl, Doral, FL 33172-1201 | 2007-09-06 |
| 1265633994 | Giovanna A Baldarrago | General Practice | 2000 Nw 87th Ave Ste 101, Doral, FL 33172-2655 | 2007-05-30 |
| 1417163791 | Alicia Rivera Mirabal | General Practice | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2007-05-15 |
| 1265562524 | Mark William Bloom | General Practice | 4550 Nw 102nd Pl, Doral, FL 33178-2276 | 2007-03-06 |
| Find all providers in DORAL | ||||
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| 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.