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Individual

DR. NITZA GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
CARR # 8838 KM 5.6, EDIF # 1761, SAN JUAN, PR 00926
(787) 765-9694
(787) 765-8986
Mailing address
66A CALLE 2, LA CAMPINA, SAN JUAN, PR 00926-9639
(787) 287-1453
(787) 765-8986

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
002028
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041661
CRUZ AZUL
PR
01
206578
PREFERRED HEALTH
PR
01
400360
HUMANA REFORMA
PR
01
41906
TRIPLE SSS
PR
01
463660
UNITED CONCORDIA
PR
01
8475
FIRST MEDICAL
PR
01
9280061
HUMANA COMERCIAL
PR
Enumeration date
01/08/2007
Last updated
07/08/2007
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