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GUTIERREZ MEDICAL CENTER NPI 1912069907


NPI Information

NPI: 1912069907
Provider Name: GUTIERREZ MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
612 BEDELL AVE
SUITE D
DEL RIO, TX
ZIP 78840
Phone: (830) 775-3597
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GUTIERREZ MEDICAL CENTER is a family medicine in Del Rio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GUTIERREZ MEDICAL CENTER NPI is 1912069907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 BEDELL AVE
SUITE D
DEL RIO, TX
ZIP 78840
Phone: (830) 775-3597
Fax: (830) 775-1166

The provider's authorized official is Alfredo Gutierrez .
The authorized official title is Medical Director and has the following contact phone number (830) 775-3597.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 3/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1673882MEDICARE OSCAR/CERTIFICATIONTEXAS
2C16407MEDICARE UPIN
3006098OTHERBCBS TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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