Individual
PETE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PA
Contact information
Practice address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
(305) 572-2025
Mailing address
2015 NW 1ST AVE, 971 NW 2ND STREET, MIAMI, FL 33127-4901
(305) 572-2026
(305) 572-2025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PA3622
FL
261QC1500X
Community Health Clinic/Center
ACN296
FL
261QC1500X
Community Health Clinic/Center
MD11514
PR
Other
Enumeration date
08/10/2006
Last updated
06/10/2011
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