| Gutleber Administration Inc | |
|
139 Ne 15th St Homestead FL 33030-4508 | |
| (305) 247-1213 | |
| (305) 247-5701 |
| Full Name | Gutleber Administration Inc |
|---|---|
| Speciality | General Practice |
| Location | 139 Ne 15th St, Homestead, Florida |
| Authorized Official Name and Position | Maria Elena Gutleber (PRESIDENT) |
| Authorized Official Contact | 3052471213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gutleber Administration Inc 139 Ne 15th St Homestead FL 33030-4508 Ph: (305) 247-1213 | Gutleber Administration Inc 139 Ne 15th St Homestead FL 33030-4508 Ph: (305) 247-1213 |
| NPI Number | 1730602210 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 06/12/2019 |
| Medicare PECOS PAC ID | 6204196231 |
|---|---|
| Medicare Enrollment ID | O20180212001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730602210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Carlos Lorenzo Delgado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922065218 PECOS PAC ID: 8426029653 Enrollment ID: I20040803000228 |
| Provider Name | Armando Acosta Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013334333 PECOS PAC ID: 9436374188 Enrollment ID: I20140714000831 |
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