| Alfonso David Moreno Gutierrez, MD | |
|
15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | |
| (773) 349-5197 | |
| Not Available |
| Full Name | Alfonso David Moreno Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 15255 Max Leggett Pkwy, Jacksonville, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083097240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 143666 (Florida) | Primary |
| 207R00000X | Internal Medicine | 35.134194 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Jacksonville, Llc | 1759435944 | 130 |
| Sound Physicians Of Florida Vi Llc | 1759802333 | 117 |
| Nabr Medical Group Pllc | 7911394374 | 3 |
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 471 |
| Entity Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
| Entity Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
| Entity Name | Hospitalist Medicine Physicians Of Florida - Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841778461 PECOS PAC ID: 4183960545 Enrollment ID: O20190107002674 |
| Entity Name | Nabr Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093469280 PECOS PAC ID: 7911394374 Enrollment ID: O20220503002916 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Entity Name | Sound Physicians Of Florida Vi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417761073 PECOS PAC ID: 1759802333 Enrollment ID: O20250312000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Alfonso David Moreno Gutierrez, MD 151 Recollection Dr, Ponte Vedra, FL 32081-1191 Ph: (773) 349-5197 | Alfonso David Moreno Gutierrez, MD 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 Ph: (773) 349-5197 |
Ricardo Pagan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Bryant Mauri, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 | |
Binh Q Doan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207 Phone: 904-396-6620 Fax: 904-396-6528 | |
Zelia Yanique Archibald, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3850 Fax: 904-244-4799 | |
Dr. Vera Utagah Abaaba, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Dr. Naveed Ahmed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Christopher Basco, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 13715 Richmond Park Dr N Unit 401, Jacksonville, FL 32224 Phone: 904-593-8514 Fax: 904-593-8515 |