Individual
JUAN CARLOS MOISES GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 SW 27TH AVE, MIAMI, FL 33145-1252
(844) 665-4827
Mailing address
8400 NW 33RD ST STE 201, DORAL, FL 33122-1937
(844) 665-4827
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1171
FL
390200000X
Student in an Organized Health Care Education/Training Program
14443-I
PR
Other
Enumeration date
06/29/2017
Last updated
04/25/2025
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