Organization
MARIA J GUTIERREZ MD FACR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J GUTIERREZ MD (OWNER)
(954) 447-1976
Entity
Organization
Contact information
Practice address
2472 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3624
(954) 447-1976
(954) 217-4943
Mailing address
4037 SAPPHIRE LK, WESTON, FL 33331-3174
(954) 447-1976
(954) 217-4943
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME63985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2511170300
—
FL
Enumeration date
01/17/2007
Last updated
08/22/2020
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