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NPI Code Detail

MEDICARE: BERNARDO A GUTIERREZ M.D.

MEDICARE: BERNARDO 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
1207R00000XInternal Medicine PhysicianME141745FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LZ370OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740238468
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARDO A GUTIERREZ M.D.
Provider Business Mailing Address
First Line : PO BOX 616788
Second Line :
City : ORLANDO
State : FL
Zip : 32861-6788
Country : US
Telephone Number : 407-533-6837
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 14075 TOWN LOOP BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6132
Country : US
Telephone Number : 407-438-5858
Fax Number : 407-387-1724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 11/29/2021

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Directions to “ BERNARDO A GUTIERREZ M.D.” Practice Location

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