Individual
DR. RUY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MAIN ST., LEWISTON, ME 04240
(207) 795-8320
(207) 795-8329
Mailing address
P.O. BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
011190
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010313237
TUFTS HEALTH PLAN
ME
01
—
2216523
AETNA ME
ME
01
—
430012433
RAILROAD MEDICARE
ME
01
—
E21238
HARVARD PILGRIM
ME
01
—
M0140
BCBS ME
ME
01
—
M775
HEALTHSOURCE MA
MA
Enumeration date
07/02/2006
Last updated
02/03/2009
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