Individual
CONSTANZA J. GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
L3324
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD037649
DC
2085R0202X
Diagnostic Radiology Physician
ME121936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147741601
—
TX
01
—
147741602
CSHCN
TX
01
—
P00722670
RAILROAD MEDICARE
DC
Enumeration date
08/24/2006
Last updated
03/20/2018
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