| Gutierrez Medical Centers | |
|
2920 N Green Valley Pkwy Ste 217 Henderson NV 89014-0407 | |
| (702) 909-8196 | |
| (702) 909-8213 |
| Full Name | Gutierrez Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 2920 N Green Valley Pkwy Ste 217, Henderson, Nevada |
| Authorized Official Name and Position | Manuel F Gutierrez (MEDICAL DIRECTOR AND OWNER) |
| Authorized Official Contact | 7029098196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gutierrez Medical Centers 130 General Kelly Ave Henderson NV 89011-5508 | Gutierrez Medical Centers 2920 N Green Valley Pkwy Ste 217 Henderson NV 89014-0407 Ph: (702) 909-8196 |
| NPI Number | 1518716679 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 6507300662 |
|---|---|
| Medicare Enrollment ID | O20240628003787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518716679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Manuel Fernando Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497259196 PECOS PAC ID: 1355733973 Enrollment ID: I20220111002244 |
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