Individual
DR. MAVEL GUTIERREZ-JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY STE 505, RENO, NV 89502-1469
(813) 974-2201
Mailing address
1155 MILL ST # MS 14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
0101249815
VA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
24178
NV
2080P0208X
Pediatric Infectious Diseases Physician
56630
AZ
2080P0208X
Pediatric Infectious Diseases Physician
ME123953
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015228600
—
FL
01
—
1502N3
BLUE CROSS BLUE SHIELD
FL
05
—
420458
—
AZ
01
—
C06778
GROUP PTAN
VA
01
—
C09463
GROUP PTAN
VA
Enumeration date
04/10/2008
Last updated
12/18/2023
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