| Luis F Gutierrez Md Llc | |
|
9690 W Sample Rd Ste 101-102 Coral Springs FL 33065-4046 | |
| (954) 346-8800 | |
| (954) 346-8280 |
| Full Name | Luis F Gutierrez Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9690 W Sample Rd Ste 101-102, Coral Springs, Florida |
| Authorized Official Name and Position | Luis F Gutierrez (OWNER) |
| Authorized Official Contact | 9543468800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis F Gutierrez Md Llc 9690 W Sample Rd Ste 101-102 Coral Springs FL 33065-4046 Ph: (954) 346-8800 | Luis F Gutierrez Md Llc 9690 W Sample Rd Ste 101-102 Coral Springs FL 33065-4046 Ph: (954) 346-8800 |
| NPI Number | 1669712196 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 2567783814 |
|---|---|
| Medicare Enrollment ID | O20150611001861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669712196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis F Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003911975 PECOS PAC ID: 3375626468 Enrollment ID: I20080213000126 |
| Provider Name | Victor I Angles-hermoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497202105 PECOS PAC ID: 4587905658 Enrollment ID: I20190418001172 |
| Provider Name | Chantal Viviane Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730684374 PECOS PAC ID: 3375908486 Enrollment ID: I20230425000882 |
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