Manuel A Gutierrez, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN15666 Issued in FL

Practice address

3010 Amboy Rd Ste 2
Staten Island, NY 10306-2015

Phone

(813) 766-8081

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Manuel Alejandro Gutierrez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1417088402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18808 FOREST GLEN CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471883",
            "telephone_number": "813-766-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 AMBOY RD STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062015",
            "telephone_number": "813-766-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN15666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "GUTIERREZ",
            "middle_name": "ALEJANDRO",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diane Kimberly Gutierrez
• Gary M Gutierrez, MSN, NP-C, CCRN
• Joaquin C Gutierrez Jr., M.D.
• Leonardo Gutierrez
• Lorna Gutierrez
• Stephanie Roxana Gutierrez
• Sai Dheeraj Gutlapalli
• Anna Sheina Gutman, M.D.
• Diana Gutman
• Bhanumathi Guttikonda, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.