Jose V Gutierrez Sr.
Individual provider Active NPI Family Medicine Physician · Loiza, PR
NPI 1487760443 · NPPES record last updated Mar 28, 2025
Key facts
- NPI
- 1487760443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11371 (PR)
- Practice address
- 47 Calle San Patricio
Loiza, PR 00772-1751 - Phone
- (787) 568-0569
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031111000255 | PR | Practitioner - General Practice |
7315850831 | Practice locations: Loiza, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11371 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SM Medical Services, CSP | General Practice | Past | Accepting new patients |
| Canovanas Medical Center CSP | Past | Accepting new patients | |
| Toa Alta Cura Health Services Inc. | Past | Accepting new patients | |
| Toa Alta Cura Health Services Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11371 | PR | Yes |
Addresses
Primary practice location
47 Calle San Patricio
Loiza, PR 00772-1751
Mailing address
PO Box 124
Loiza, PR 00772-0124
Phone (787) 256-2277
Other providers in Loiza, PR
- Mayra E. Fernandez Amarat
- Carmen R Fernandez
- Darinelys Figueroa Cosme
- Nilsa Amarellys Figueroa Robles
- Milagros Gonzalez
- Raul Jose Gutierrez
- Amalis Yudith Hernandez Cabrera
- Igpa Billing Services Revenue Cycle Management
- Inspira Mental Health Management
- Israel Odiot Vazquez
All providers in Loiza, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.