Healthcare Provider Details

I. General information

NPI: 1922743582
Provider Name (Legal Business Name): ERIKA ASTRID GUTIERREZ RAMIREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date: 02/08/2023
Reactivation Date: 03/17/2025

III. Provider practice location address

77 MILDFORD NECK RD
MILDFORD DE
19963
US

IV. Provider business mailing address

77 MILFORD NECK RD
MILFORD DE
19963-6700
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-4700
  • Fax:
Mailing address:
  • Phone: 302-674-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0029902
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: