Active NPI
Jose R Gutierrez Colon
- Contractor
- Aibonito, PR
National Provider Identifier
1184647901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- TC AMB 230
- Practice address
- Carr 7722 KM 5.6 la Sierra
Box 622
Aibonito, PR 00705-0622 - Phone
- (787) 735-7129
- Fax
- (787) 735-1679
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | TC AMB 230 | PR | Primary |
Addresses
Primary practice location
Carr 7722 KM 5.6 la Sierra
Box 622
Aibonito, PR 00705-0622
Mailing address
PO Box 622
Aibonito, PR 00705-0622
Phone (787) 735-7129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC AMB 230 | PR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184647901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 622",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007050622",
"telephone_number": "787-735-7129",
"fax_number": "787-735-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 7722 KM 5.6 LA SIERRA",
"address_2": "BOX 622",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007050622",
"telephone_number": "787-735-7129",
"fax_number": "787-735-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ COLON",
"first_name": "JOSE",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PR",
"license": "TC AMB 230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aibonito, PR
- Sandra C. Gracia-Lopez, M.D.
- Anabel Gracia, PSYCHOLOGIST
- Grupo Medico Jatibonico LLC
- Grupo Medico Menonita
- Guayacan Visual Care Management Inc (Cobian Visual Center)
- Carlos Javier Guzman Ortiz, MD
- Hall of Life Ambulance LLC
- Eddie A. Hernandez
- Yorlenis Hevia-Jimenez, M.D.
- HH Brothers Corporation (Farmacia San Antonio)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.