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Deactivated NPI 1720015381 Deactivated / Inactive NPI Female Practitioner

Dr. Marisela C Jaquez Gutierrez , MD

Pediatrics • Doral, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marisela Jaquez Gutierrez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2006
NPI Deactivation Date October 25, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Marisela Jaquez Gutierrez, MD was a registered Pediatrics practicing in Doral, FL. Throughout an active medical career spanning 17 years, Dr. Jaquez Gutierrez provided care at the practice location at 8181 NW 36TH ST until profile deactivation on 2023-10-25.

Historical Medicare Part B clinical services included established patient outpatient office visit, face-to-face behavioral counseling for obesity, chronic care management services, first. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

8181 Nw 36th St
S 18

Doral, FL 331666671

Telephone 3053926784
Associated Practice Facility / Clinic
🏢 Spring Rehab Center Inc Facility NPI 1730168386

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Doral, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Doral, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
88 42 $235.36 $135.50
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
39 22 $51.03 $27.29
99213 Established patient office or other outpatient visit, typically 15 minutes
32 26 $197.38 $95.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 17 $117.75 $59.95
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
20 11 $121.24 $63.92
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
20 20 $60.59 $27.88
99497 Advance care planning, first 30 minutes
14 13 $158.79 $87.63
36415 Insertion of needle into vein for collection of blood sample
14 12 $13.93 $8.40

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME70979

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Melinda Guerra , COTA, L

Occupational Therapy Assistant

NPI 1003303041

Certified Occupational Therapy Assistant, L

Leonardo Rivas

Occupational Therapy Assistant

NPI 1437679065
Malena Pulido

Occupational Therapist

NPI 1962976787

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
⚠️
NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active February 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2017

Registered at 8181 NW 36TH ST, S 18, DORAL, FL 331666671 (Tel: 3053926784)

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Updated Business Mailing Address February 08, 2017

Registered at 11341 NW 50TH TER, DORAL, FL 331783545 (Tel: 3053926784)

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Provider Name / Credentials Updated February 08, 2017

Recorded as MARISELA JAQUEZ GUTIERREZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2017

General Practice (License #ME70979 in FL)

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2016

Registered at 8181 NW 36TH ST, S 18, DORAL, FL 331666671 (Tel: 3053926784)

📍
Updated Business Mailing Address October 19, 2016

Registered at 11341 NW 50TH TER, DORAL, FL 331783545 (Tel: 3053926784)

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Provider Name / Credentials Updated October 19, 2016

Recorded as MARISELA JAQUEZ GUTIERREZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Pediatrics (License #ME70979 in FL)

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Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720015381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: October 19, 2016
Deactivation Date: October 25, 2023

Mailing Address

11341 Nw 50th Ter

Doral, FL 331783545

Phone: 3053926784

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.