Gutierrez MD PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J9880 Issued in TX

Legal business name

GUTIERREZ MD PLLC

Practice address

612 N Bedell Ave Ste a
Del Rio, TX 78840-4173

Phone

(830) 775-1166

Fax

(830) 774-8551

NPI assigned

Apr 29, 2010

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaime Javier Gutierrez, MDNPI 1922155506

Title

Physician

Phone

(830) 765-6622

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime J Gutierrez, M.D.

  • Family Medicine Physician
  • Del Rio, TX
  • NPI 1922155506
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1528385689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ENCINO DR",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402240",
            "telephone_number": "830-765-6622",
            "fax_number": "830-774-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N BEDELL AVE STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404173",
            "telephone_number": "830-775-1166",
            "fax_number": "830-774-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "830-765-6622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "J9880",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J9880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Wilson Graham, RN,CNS
• Lisa Guerrero
• Patricia Guerrero
• Gutierrez M.D. P.L.L.C. (South Texas Urgent Care Center of del Rio)
• Gutierrez MD PLLC
• Gutierrez Medical Center
• Jaime J Gutierrez, M.D.
• H-E-B, LP (HEB Pharmacy #418)
• Charles Allen Hare, PA-C
• Aileen Perry Harms, IDMT

• General Practice Physician in Del Rio, TX
• Providers in Del Rio, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.