Organization Active NPI

Daniel E Gutierrez DO PLLC

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1053838862
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
395396001MedicaidTX

Other names 1

  • Daniel E. Gutierrez D.O. PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1303 McCullough Ave
Ste 233
San Antonio, TX 78212
Phone (210) 579-3396

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.