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NPI Code Detail

MEDICARE: ANDREA NICOLETTA GUTIERREZ DE LA FUENTE

MEDICARE: ANDREA NICOLETTA GUTIERREZ DE LA FUENTE
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
1390200000XStudent in an Organized Health Care Education/Training ProgramS.2403859-TRNEOH

General Provider Information

NPI Number : 1831051622
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA NICOLETTA GUTIERREZ DE LA FUENTE
Provider Business Mailing Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-7800
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ ANDREA NICOLETTA GUTIERREZ DE LA FUENTE ” Practice Location

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