Individual
HERIBERTO G GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-3533
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24156
AZ
207UN0901X
Nuclear Cardiology Physician
24156
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005502490
CIGNA
AZ
01
—
060057022
RAILROAD MEDICARE
AZ
01
—
10044506
PPO NEXT
AZ
01
—
100644
ONE HEALTH
AZ
01
—
102609
PREFERRED HEALTH NETWORK
AZ
01
—
14716
ARIZONA MEDICAL NETWORK
AZ
01
—
1Z3635
HEALTH NET
AZ
01
—
2103058
GHI
AZ
01
—
25-00276
UNITED HEALTHCARE
AZ
05
—
346826
—
AZ
01
—
5073464
CCN
AZ
01
—
5278173
AETNA
AZ
01
—
933771
FIRST HEALTH
AZ
01
—
AZ0860280
BCBS OF ARIZONA
AZ
01
—
XPY197813
MEDI-CAL
CA
Enumeration date
05/25/2005
Last updated
01/26/2021
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