Individual
JOSE VICTOR GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
URB SUNVILLE C 16 R 19, TRUJILLO ALTO, PR 00976
(787) 219-5171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
44374
PR
Other
Enumeration date
11/29/2021
Last updated
02/17/2022
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