Provider Demographics
NPI:1881402592
Name:CARTAGENA GUTIERREZ, JOSE JOEL (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:JOEL
Last Name:CARTAGENA GUTIERREZ
Suffix:
Gender:M
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3250 MARY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5293
Mailing Address - Country:US
Mailing Address - Phone:305-908-1115
Mailing Address - Fax:305-675-3135
Practice Address - Street 1:1471B E OSCEOLA PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1604
Practice Address - Country:US
Practice Address - Phone:407-680-1811
Practice Address - Fax:833-764-4618
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036845363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health