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NPI Code Detail

MEDICARE: MELVIN GUTIERREZ

MEDICARE:   MELVIN  GUTIERREZ
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
1104100000XSocial Worker

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 : 1689341489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN GUTIERREZ
Provider Business Mailing Address
First Line : 11758 SW 108TH LN
Second Line :
City : MIAMI
State : FL
Zip : 33186-3920
Country : US
Telephone Number : 305-812-6432
Fax Number :
Provider Business Practice Location Address
First Line : 3600 S STATE ROAD 7 STE 18
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-5288
Country : US
Telephone Number : 754-888-9162
Fax Number : 754-888-9278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2021
Last Update Date : 04/30/2024

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Directions to “ MELVIN GUTIERREZ ” Practice Location

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