Individual
JASMINE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 292-1818
(505) 293-2952
Mailing address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 621-8669
(505) 293-2952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A164172
CA
207Q00000X
Family Medicine Physician
Primary
MD2023-1298
NM
Other
Enumeration date
04/28/2016
Last updated
08/13/2025
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