Individual
HORACIO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 TULIP ST, LONGMONT, CO 80501-3157
(303) 651-5160
(303) 651-5173
Mailing address
1380 TULIP ST, LONGMONT, CO 80501-3157
(303) 651-5160
(303) 651-5173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DR.0037798
CO
2085R0202X
Diagnostic Radiology Physician
Primary
37798
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54136831
—
CO
01
—
F2008
BCBS
CO
01
—
P00121931
RAILROAD MEDICARE
CO
Enumeration date
06/28/2006
Last updated
11/15/2016
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