Kenner Gutierrez, MA is a
Physical Therapy Assistant based in Miami, Florida. Kenner Gutierrez is licensed to practice in Florida (license number PTA26844) and his current practice location is
13595 Sw 134th Ave Ste 207, Miami, Florida. He can be reached at his office (for appointments etc.) via phone at
(786) 218-7690.
NPI number for Kenner Gutierrez is 1740558584 and his current mailing address is 13595 Sw 134th Ave Ste 207, Miami, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740558584.
Healthcare Provider's Profile
Full Name | Kenner Gutierrez |
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Gender | Male |
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Speciality | Physical Therapy Assistant |
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Location | 13595 Sw 134th Ave Ste 207, Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740558584
- Provider Enumeration Date: 12/08/2011
- Last Update Date: 03/21/2024
Medical Identifiers
Medical identifiers for Kenner Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740558584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA 64023 (Florida) | Secondary |
225200000X | Physical Therapy Assistant | PTA26844 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenner Gutierrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenner Gutierrez, MA 13595 Sw 134th Ave Ste 207, Miami, FL 33186-4580 Ph: (786) 218-7690 | Kenner Gutierrez, MA 13595 Sw 134th Ave Ste 207, Miami, FL 33186-4580 Ph: (786) 218-7690 |
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