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Individual
IVAN GUTIERREZ DURRUTHY
Active
Individual
IVAN GUTIERREZ DURRUTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACN1588
FL
207R00000X
Internal Medicine Physician
16427-I
PR
363A00000X
Physician Assistant
000964-PA
PR
Other
Enumeration date
05/18/2021
Last updated
11/22/2023
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