Provider Demographics
NPI:1427933951
Name:GUTIERREZ PENA, ELSY DEL CARMEN (ARNP)
Entity type:Individual
Prefix:
First Name:ELSY
Middle Name:DEL CARMEN
Last Name:GUTIERREZ PENA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10946 W 33RD CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2188
Mailing Address - Country:US
Mailing Address - Phone:786-657-6172
Mailing Address - Fax:
Practice Address - Street 1:10946 W 33RD CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-2188
Practice Address - Country:US
Practice Address - Phone:786-657-6172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11040738363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty