Alex Reinaldo Gutierrez Nieves, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18466 Issued in PR

Practice address

Naranjito Shooping Village
Bo.Cedro Arriba Carr 152 KM
Naranjito, PR 00719

Phone

(939) 274-9637

NPI assigned

Jan 11, 2012

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  Single Specialty

  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1114297868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 71 BOX 3305",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007199532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NARANJITO SHOOPING VILLAGE",
            "address_2": "BO.CEDRO ARRIBA CARR 152 KM",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "939-274-9637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Calle De Diego",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009233002",
            "country_code": "US",
            "telephone_number": "939-274-9637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr 811 Km 0.6 Interior",
            "address_purpose": "LOCATION",
            "city": "Naranjito",
            "state": "PR",
            "postal_code": "00719",
            "country_code": "US",
            "telephone_number": "787-452-1572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ NIEVES",
        "first_name": "ALEX",
        "middle_name": "REINALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1001",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO BOARD OF MEDICINE",
            "identifier": "18466",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Gonzalez, D.M.D
• Rosalee Gonzalez
• Isis Gracia, PSY D
• Grupo Medico Ipa-341
• Grupo Pediatrico de la Montana C.S.P.
• Ivonne Esther Hernandez Castro, M.D.
• Alanys Nicole Hernandez Nieves, RN,BSN
• Emily Hernandez Virella, MS. CCC-SLP
• Dayma Hernandez
• Dielitza Liz Hernandez, MS

• General Practice Physician in Naranjito, PR
• Providers in Naranjito, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.