Individual provider Active NPI

Jorge L Gutierrez, M.D.

  • Emergency Medicine Physician
  • Caguas, PR
National Provider Identifier
1073587267
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11092 Issued in PR
Practice address
1074 Calle Guajataca
Urb. Valles del Lago
Caguas, PR 00725-7635
Phone
(787) 613-0525
Fax
(787) 286-0661
NPI assigned
Feb 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11092 PR Primary

Addresses

Primary practice location

1074 Calle Guajataca
Urb. Valles del Lago
Caguas, PR 00725-7635

Mailing address

1074 Calle Guajataca
Urb. Valles del Lago
Caguas, PR 00725-7635
Phone (787) 613-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001459 PR Practitioner - Emergency Medicine 7618954181 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11092PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Cancer de la Universidad CurrentSince Dec 17, 2021 Accepting new patients
Rad Nucs LLC Past Accepting new patients
Yauco Healthcare Corporation Past Accepting new patients
Recinto de Ciencias Medicas Emergency Medicine Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073587267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 CALLE GUAJATACA",
            "address_2": "URB. VALLES DEL LAGO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257635",
            "telephone_number": "787-613-0525",
            "fax_number": "787-286-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 CALLE GUAJATACA",
            "address_2": "URB. VALLES DEL LAGO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257635",
            "telephone_number": "787-613-0525",
            "fax_number": "787-286-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "11092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.