Individual
WILBERTO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 CALLE GUILLERMO RIEFKOHL, PATILLAS, PR 00723-0000
(787) 839-4320
(787) 271-0004
Mailing address
99 CALLE GUILLERMO RIEFKOHL, PATILLAS, PR 00723-0000
(787) 839-4320
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
008197
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159617
REGISTRY NO.
PR
Enumeration date
04/12/2017
Last updated
04/12/2017
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