Organization Active NPI

Gutierrez Medical Center

  • Family Medicine Physician
  • Del Rio, TX
National Provider Identifier
1912069907
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GUTIERREZ MEDICAL CENTER
Practice address
612 Bedell Ave
Suite D
Del Rio, TX 78840
Phone
(830) 775-3597
Fax
(830) 775-1166
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Alfredo Gutierrez Jr., MD
Title
Medical Director
Phone
(830) 775-3597

Specialties & licenses 1

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

Addresses

Primary practice location

612 Bedell Ave
Suite D
Del Rio, TX 78840

Mailing address

612 Bedell Ave
Suite D
Del Rio, TX 78840
Phone (830) 775-3597

Other identifiers 1

IdentifierTypeStateIssuer
006098OtherBCBS TEXAS

National Provider Directory

National Provider Directory

Locations

612 N Bedell Ave
Ste D
Del Rio, TX 78840
Phone (830) 775-3597

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1912069907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 BEDELL AVE",
            "address_2": "SUITE D",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-775-3597",
            "fax_number": "830-775-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BEDELL AVE",
            "address_2": "SUITE D",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-775-3597",
            "fax_number": "830-775-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "830-775-3597",
        "authorized_official_name_prefix": "Mr.",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "006098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.