NPIMap

Organization Active NPI

Jose L Lopez Gutierrez MD PA

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1689779852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92874 Issued in FL
Legal business name
JOSE L LOPEZ GUTIERREZ MD PA
Practice address
2562 SW 27TH Ave
Cape Coral, FL 33914-3833
Phone
(239) 542-0010
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose Luis Lopez Gutierrez, MDNPI 1710947940
Title
President
Phone
(210) 542-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME92874 FL Primary

Addresses

Primary practice location

2562 SW 27TH Ave
Cape Coral, FL 33914-3833

Mailing address

2562 SW 27TH Ave
Cape Coral, FL 33914-3833
Phone (239) 542-0010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689779852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 SW 27TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143833",
            "telephone_number": "239-542-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 SW 27TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143833",
            "telephone_number": "239-542-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L LOPEZ GUTIERREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ GUTIERREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-542-0010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.