MEDICARE: CARLOS A GUTIERREZ M.D.

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
1	208600000X	Surgery Physician	G0422	TX
2	2086S0129X	Vascular Surgery Physician	G0422	TX

General Provider Information

NPI Number	:	1427260157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS A GUTIERREZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 221408
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-4408
Country	:	US
Telephone Number	:	915-307-8780
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 JOE BATTLE BLVD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-4660
Country	:	US
Telephone Number	:	915-307-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	04/22/2025

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