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NPI Code Detail

MEDICARE: JOSHUA GUTIERREZ CHW

MEDICARE: JOSHUA GUTIERREZ CHW
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
1172V00000XCommunity Health Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1790668051
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA GUTIERREZ CHW
Provider Business Mailing Address
First Line : 1284 PAREDES LINE RD APT C
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1731
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1284 PAREDES LINE RD APT C
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1731
Country : US
Telephone Number : 956-597-7717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2025
Last Update Date : 03/28/2026

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Directions to “ JOSHUA GUTIERREZ CHW” Practice Location

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