| Gutierrez M.d. P.l.l.c. | |
|
612 N Bedell Ave Suite A Del Rio TX 78840-4173 | |
| (830) 775-1166 | |
| (830) 774-8551 |
| Full Name | Gutierrez M.d. P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 612 N Bedell Ave Suite A, Del Rio, Texas |
| Authorized Official Name and Position | Jaime Javier Gutierrez (OWNER) |
| Authorized Official Contact | 8307751166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gutierrez M.d. P.l.l.c. 612 N Bedell Ave Suite A Del Rio TX 78840-4173 Ph: (830) 775-1166 | Gutierrez M.d. P.l.l.c. 612 N Bedell Ave Suite A Del Rio TX 78840-4173 Ph: (830) 775-1166 |
| NPI Number | 1023379971 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 9032367024 |
|---|---|
| Medicare Enrollment ID | O20120917000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023379971 | NPI | - | NPPES |
| 314709201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | J9880 (Texas) | Secondary |
| Provider Name | Jaime J Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922155506 PECOS PAC ID: 0547245128 Enrollment ID: I20040618001072 |
| Provider Name | Paloma B Solis Cariaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699030536 PECOS PAC ID: 2567619109 Enrollment ID: I20120904000315 |
| Provider Name | Dennis Barrios Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295269298 PECOS PAC ID: 4183992761 Enrollment ID: I20170623000179 |
| Provider Name | Felix R Escobedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278430 PECOS PAC ID: 5092049155 Enrollment ID: I20190624000719 |
Val Verde Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Bedell Ave, Del Rio, TX 78840 Phone: 830-774-2505 | |
Clinic On Wheelz Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Bedell Ave Ste B, Del Rio, TX 78840 Phone: 915-519-7074 | |
Northside Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Foster Dr, Del Rio, TX 78840 Phone: 830-778-8442 Fax: 830-778-8321 | |
Conrado G. Galindo Iii, Mdpa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 N Bedell Ave, Del Rio, TX 78840 Phone: 830-775-0512 Fax: 830-775-1888 | |
Val Verde Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Bedell Ave, Del Rio, TX 78840 Phone: 830-774-2505 Fax: 830-774-2394 | |
Gutierrez Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N Bedell Ave, Ste A, Del Rio, TX 78840 Phone: 830-775-1166 |