Healthcare Provider Details

I. General information

NPI: 1235972050
Provider Name (Legal Business Name): MARIA DEL PILAR GUTIERREZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 N 35TH AVE STE 310
HOLLYWOOD FL
33021-5403
US

IV. Provider business mailing address

1131 N 35TH AVE STE 310
HOLLYWOOD FL
33021-5403
US

V. Phone/Fax

Practice location:
  • Phone: 954-989-5010
  • Fax:
Mailing address:
  • Phone: 954-989-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA DEL PILAR GUTIERREZ
Title or Position: OWNER
Credential: MD
Phone: 954-661-8767