Active NPI
Wilberto Gutierrez
- Other Technician
- Patillas, PR
National Provider Identifier
1487188975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 008197
- Practice address
- 99 Calle Guillermo Riefkohl
Patillas, PR 00723-0000 - Phone
- (787) 839-4320
- Fax
- (787) 271-0004
- NPI assigned
- Apr 12, 2017
- Last updated
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 008197 | PR | Primary |
Addresses
Primary practice location
99 Calle Guillermo Riefkohl
Patillas, PR 00723-0000
Mailing address
99 Calle Guillermo Riefkohl
Patillas, PR 00723-0000
Phone (787) 839-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159617 | Other | PR | REGISTRY NO. |
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 |
|---|---|---|---|
| 008197 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1487188975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKOHL",
"city": "PATILLAS",
"state": "PR",
"postal_code": "007230000",
"telephone_number": "787-839-4320",
"fax_number": "787-271-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKOHL",
"city": "PATILLAS",
"state": "PR",
"postal_code": "007230000",
"telephone_number": "787-839-4320",
"fax_number": "787-271-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "WILBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "PR",
"license": "008197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRY NO.",
"identifier": "159617",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.