Gutierrez MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9880 Issued in TX

Legal business name

GUTIERREZ MD PLLC

Practice address

612 N Bedell Ave
Ste a
Del Rio, TX 78840-4173

Phone

(830) 775-1166

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark Morgan

Title

Ceo

Phone

(830) 278-1166

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime J Gutierrez, M.D.

  • Family Medicine Physician
  • Del Rio, TX
  • NPI 1922155506
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1225302102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E MAIN ST",
            "address_2": "STE Z",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016424",
            "telephone_number": "830-278-1166",
            "fax_number": "830-278-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N BEDELL AVE",
            "address_2": "STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404173",
            "telephone_number": "830-775-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-278-1166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moira E Graham, PNP
• Shannon Wilson Graham, RN,CNS
• Lisa Guerrero
• Patricia Guerrero
• Gutierrez M.D. P.L.L.C.
• Gutierrez MD PLLC
• Gutierrez Medical Center
• Jaime J Gutierrez, M.D.
• H-E-B, LP
• Charles Allen Hare, PA-C

• Family Medicine Physician in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.