# CLINICA MEDICA DEL SOL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023155991
- **Authorized official:** DR. JOSEPH M GUTIERREZ M.D. (OWNER)
- **Authorized official phone:** (602) 513-3616

## Contact information

- **Practice address:** 8022 N 27TH AVE, PHOENIX, AZ 85051-6302
- **Practice address phone:** (602) 513-3616
- **Practice address fax:** (480) 657-9265
- **Mailing address:** PO BOX 55015, PHOENIX, AZ 85078-5015
- **Mailing address phone:** (602) 513-3616
- **Mailing address fax:** (480) 657-9265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32998 | AZ | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 871089 | — | AZ |
