Healthcare Provider Details

I. General information

NPI: 1871944413
Provider Name (Legal Business Name): MARIA E GUTIERREZ TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA E GUTIERREZ MD

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 10/25/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 N DUNLAP ST FL 2
MEMPHIS TN
38105-4625
US

IV. Provider business mailing address

850 POPLAR AVE BLDG 2
MEMPHIS TN
38105-4607
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-7337
  • Fax: 901-287-4646
Mailing address:
  • Phone: 901-287-5594
  • Fax: 901-287-6804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number68028
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number68028
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: