Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Enrique Gutierrez Mendiola, MD

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1134742182

Antonio Enrique Gutierrez Mendiola, MD is a Family Practice in Pembroke Pines, Florida. Qualified in 2010, 16 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Puerto Rico.

Years since qualifying
16
Licensed in
FL, PR
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11460 Pines Blvd
Pembroke Pines, FL 33026-4128
Phone: (954) 874-5526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Calle Casia, San Juan, PR 00921-3200 — (786) 925-4234

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME168251 (FL)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 36271R (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PR)

Record details

NPI number1134742182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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