Lissette Gutierrez, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Carolina, PR
NPI 1962482885 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1962482885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 13364 (PR)
- Practice address
- Plazoleta la Ceramica Suite 2 Al 6
Ave Sanchez Vilella Esquina PR-190
Carolina, PR 00983 - Phone
- (855) 711-2673
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13364 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.Collazo MD, CSP | Past | Accepting new patients | |
| Armando James Collazo Leandry CSP | Obstetrics & Gynecology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13364 | PR | Yes |
Addresses
Primary practice location
Plazoleta la Ceramica Suite 2 Al 6
Ave Sanchez Vilella Esquina PR-190
Carolina, PR 00983
Mailing address
12955 SW 68TH Ave
Pinecrest, FL 33156-6259
Phone (787) 360-4751
Other providers in Carolina, PR
- Yarimar A. Guerrero
- Ross Marie Guerrido Pizarro
- Wilfredo Gutierrez Cotto
- Claryness Gutierrez Delgado
- Aurimar Gutierrez Falu
- Yolanda Gutierrez
- Stephane Guzman Garcia
- Paola C Guzman Santiago
- Francisco Guzman Yunque
- David Cortes Guzman
All providers in Carolina, PR · Obstetrics & Gynecology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.