Individual
J SANTIAG GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6930 SPRINGFIELD, LAREDO, TX 78041-2262
(956) 725-8484
(956) 724-8459
Mailing address
6930 SPRINGFIELD, LAREDO, TX 78041-2262
(956) 725-8484
(956) 724-8459
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G9746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099792601
—
TX
Enumeration date
08/03/2006
Last updated
04/18/2012
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