Gutierrez MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GUTIERREZ MD, PLLC

Doing business as

Gutierrez Medical Centers

Practice address

2920 N Green Valley Pkwy Ste 217
Henderson, NV 89014-0407

Phone

(702) 909-8196

Fax

(702) 909-8213

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Manuel F Gutierrez Jr., MDNPI 1497259196

Title

Medical Director and Owner

Phone

(702) 909-8196

Specialties & licenses 1

Addresses

Other names 1

• Gutierrez Medical Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Manuel Fernando Gutierrez Jr., MD

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1497259196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1518716679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GENERAL KELLY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890115508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 217",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140407",
            "telephone_number": "702-909-8196",
            "fax_number": "702-909-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "702-909-8196",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gutierrez Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pervin N/a Gupta
• Sean S. Gupton, MD
• Mercedes Apolina Gurrola
• Gustavo Hernandez DMD PLLC
• Rose Marie Gustilo, MD
• Krystal Gutierrez-Avila, LCSW
• Alexandra Gutierrez
• Arabella Gutierrez
• Astley Gutierrez
• Irene Amanda Gutierrez, MD, MPH

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.