Active NPI
Daniel E Gutierrez DO PLLC
- Neurological Surgery Physician
- San Antonio, TX
National Provider Identifier
1053838862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- DANIEL E GUTIERREZ DO PLLC
- Doing business as
- Daniel E. Gutierrez D.O. PLLC
- Practice address
- 1200 Brooklyn Ave Ste 130
San Antonio, TX 78212-4810 - Phone
- (210) 579-3396
- Fax
- (844) 485-5407
- NPI assigned
- Aug 23, 2017
- Last updated
- Feb 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maret Louise Valencia
- Title
- Office Manager
- Phone
- (210) 579-3396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
1200 Brooklyn Ave Ste 130
San Antonio, TX 78212-4810
Mailing address
PO Box 12638
San Antonio, TX 78212-0638
Phone (210) 579-3396
Other practice location 1
1303 McCullough Ave Ste 233
San Antonio, TX 78212-5604
Phone (210) 446-7355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395396001 | Medicaid | TX |
Other names 1
- Daniel E. Gutierrez D.O. PLLC
National Provider Directory
National Provider DirectoryLocations
1303 McCullough Ave
Ste 233
San Antonio, TX 78212
Phone (210) 579-3396
Interoperability endpoints
- https://api.platform.athenahealth.com/16627/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1053838862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12638",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782120638",
"telephone_number": "210-579-3396",
"fax_number": "844-485-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE STE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124810",
"telephone_number": "210-579-3396",
"fax_number": "844-485-5407"
}
],
"practiceLocations": [
{
"address_1": "1303 McCullough Ave Ste 233",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782125604",
"country_code": "US",
"telephone_number": "210-446-7355",
"fax_number": "844-485-5407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DANIEL E GUTIERREZ DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-23",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "VALENCIA",
"authorized_official_first_name": "MARET",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-579-3396"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "395396001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Daniel E. Gutierrez D.O. PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.