Organization
JUAN M GUTIERREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN M GUTIERREZ M.D. (PHYSICIAN)
(305) 227-6618
Entity
Organization
Contact information
Practice address
11880 SW 40TH ST, SUITE 404, MIAMI, FL 33175-3584
(305) 227-6618
(305) 227-6668
Mailing address
11880 SW 40TH ST, SUITE 404, MIAMI, FL 33175-3584
(305) 227-6618
(305) 227-6668
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME40749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068939400
—
FL
Enumeration date
07/02/2014
Last updated
08/06/2015
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