Gutierrez Medical Center, Llc | |
601 S Semoran Blvd Orlando FL 32807-3120 | |
(407) 203-6898 | |
(407) 203-6899 |
Full Name | Gutierrez Medical Center, Llc |
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Speciality | Clinic/Center |
Location | 601 S Semoran Blvd, Orlando, Florida |
Authorized Official Name and Position | Jesus Gutierrez Stone (OWNER) |
Authorized Official Contact | 4072036898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gutierrez Medical Center, Llc 601 S Semoran Blvd Orlando FL 32807-3120 Ph: (407) 203-6898 | Gutierrez Medical Center, Llc 601 S Semoran Blvd Orlando FL 32807-3120 Ph: (407) 203-6898 |
NPI Number | 1750729075 |
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Provider Enumeration Date | 06/08/2013 |
Last Update Date | 10/01/2024 |
Medicare PECOS PAC ID | 4789827429 |
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Medicare Enrollment ID | O20130828000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750729075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
Provider Name | Karen Marrero |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427383330 PECOS PAC ID: 3173653441 Enrollment ID: I20120214000780 |
Provider Name | Jesus E Gutierrez Stone |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396990461 PECOS PAC ID: 9436301462 Enrollment ID: I20130828000959 |
Provider Name | Jessica Rios Santiago |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538898267 PECOS PAC ID: 1557733136 Enrollment ID: I20230207003565 |
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