Gutierrez Psychiatry Llc | |
7031 Sw 62nd Ave South Miami FL 33143-4701 | |
(305) 771-3064 | |
Not Available |
Full Name | Gutierrez Psychiatry Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 7031 Sw 62nd Ave, South Miami, Florida |
Authorized Official Name and Position | Alfredo N Gutierrez (OWNER) |
Authorized Official Contact | 3057713064 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gutierrez Psychiatry Llc 8306 Mills Dr Ste 315 Miami FL 33183-4838 Ph: () - | Gutierrez Psychiatry Llc 7031 Sw 62nd Ave South Miami FL 33143-4701 Ph: (305) 771-3064 |
NPI Number | 1952182883 |
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Provider Enumeration Date | 10/06/2023 |
Last Update Date | 10/11/2023 |
Certification Date | 10/11/2023 |
Medicare PECOS PAC ID | 0749630317 |
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Medicare Enrollment ID | O20231221003424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952182883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Alfredo N Gutierrez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831753821 PECOS PAC ID: 7416318076 Enrollment ID: I20230728001117 |
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