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NPI Code Detail

MEDICARE: MARIA DE LOS ANGELES GUTIERREZ RIVAS MD

MEDICARE: MARIA DE LOS ANGELES GUTIERREZ RIVAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00042869WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598817736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE LOS ANGELES GUTIERREZ RIVAS MD
Provider Business Mailing Address
First Line : 7600 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98203-6421
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 1448 NW MARKET ST
Second Line :
City : SEATTLE
State : WA
Zip : 98107-3743
Country : US
Telephone Number : 206-781-6079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 04/23/2026

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Directions to “ MARIA DE LOS ANGELES GUTIERREZ RIVAS MD” Practice Location

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