Organization Active NPI

Amy J. Gutierrez, MD,PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1780739961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6410 Issued in TX
Legal business name
AMY J. GUTIERREZ, MD,PA
Practice address
9355 Bandera Rd
Ste. 136
San Antonio, TX 78250-2562
Phone
(210) 798-9355
Fax
(210) 798-9356
NPI assigned
Jan 25, 2007
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
Dr. Amy J Gutierrez, MDNPI 1851395750
Title
Docotr-Owner
Phone
(210) 798-9355

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 L6410 TX Primary

Addresses

Primary practice location

9355 Bandera Rd
Ste. 136
San Antonio, TX 78250-2562

Mailing address

PO Box 680186
San Antonio, TX 78268-0186
Phone (210) 798-9355

National Provider Directory

National Provider Directory

Locations

9355 Bandera Rd
Ste 136
San Antonio, TX 78250
Phone (210) 798-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780739961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680186",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782680186",
            "telephone_number": "210-798-9355",
            "fax_number": "210-798-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 BANDERA RD",
            "address_2": "STE. 136",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502562",
            "telephone_number": "210-798-9355",
            "fax_number": "210-798-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J. GUTIERREZ, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCOTR-OWNER",
        "authorized_official_telephone_number": "210-798-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

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.