Active NPI
Luis V Gutierrez, MD
- Occupational Medicine Physician
- San Juan, PR
National Provider Identifier
1356558456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 10837
- Practice address
- Hospital Industrial-Centro Medico
Bo. Monacillos
San Juan, PR 00936 - Phone
- (787) 754-2525
- Fax
- (787) 767-3968
- NPI assigned
- May 17, 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 10837 | PR | Primary |
Addresses
Primary practice location
Hospital Industrial-Centro Medico
Bo. Monacillos
San Juan, PR 00936
Mailing address
1500 Camino Los Romero #1215
San Juan, PR 00926
Phone (787) 433-9481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10837 | Other | PR | STATE LICENSE |
| BG3414276 | Other | FEDERAL NARCOTICS LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10837 | PR | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356558456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CAMINO LOS ROMERO #1215",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-433-9481",
"fax_number": "787-767-3968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL INDUSTRIAL-CENTRO MEDICO",
"address_2": "BO. MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-754-2525",
"fax_number": "787-767-3968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "LUIS",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "10837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "10837",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL NARCOTICS LICENSE",
"identifier": "BG3414276",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
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.