Individual
ALBERT MANUEL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 E FARREL RD, LAFAYETTE, LA 70508-7104
(337) 981-9110
(337) 981-8485
Mailing address
PO BOX 52843, LAFAYETTE, LA 70505-2843
(337) 981-9110
(337) 981-8485
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
11023 R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659681
—
LA
Enumeration date
10/06/2005
Last updated
10/25/2011
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