Individual
ALVIN L GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N FLAMINGO RD, SUITE 206A, PEMBROKE PINES, FL 33028-1015
(954) 450-2977
(954) 450-2504
Mailing address
601 N FLAMINGO RD, SUITE 206A, PEMBROKE PINES, FL 33028-1015
(954) 450-2977
(954) 450-2504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271335700
—
FL
01
—
32910
BCBS
—
01
—
5036119
AETNA
—
Enumeration date
10/28/2005
Last updated
01/25/2017
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