Manuel Antonio Gutierrez Hernandez Sr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

Jose C Barbosa Ave #209
Las Piedras, PR 00771

Phone

(787) 733-0220

Fax

(787) 716-0190

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1215918115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "address_2": "BARBOSA AVE #209",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-0220",
            "fax_number": "787-716-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSE C BARBOSA AVE #209",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-0220",
            "fax_number": "787-716-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ HERNANDEZ",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra A Gonzalez
• Victor M Grillo, MD
• GS Multiservices Corporation
• Maria Del C. Guisao, PHARMACIST
• Guomet-Av Inc
• Chadli Gutierrez, PSY,D
• Gretchen G Gutierrez
• Lily B Guzman Bosch, M.D.
• Liliana M Guzman-Bicchi, M.D.
• Valerie Hernandez Burgos

• Specialist in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.