| Marco Gutierrez Md And Associates | |
|
401 S Alamo Rd Alamo TX 78516 | |
| (956) 787-9111 | |
| (956) 683-9440 |
| Full Name | Marco Gutierrez Md And Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 401 S Alamo Rd, Alamo, Texas |
| Authorized Official Name and Position | Marco Gutierrez (OWNER) |
| Authorized Official Contact | 9567879111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Gutierrez Md And Associates 5208 N 10th St # 239 Mcallen TX 78504-2701 Ph: (956) 787-9111 | Marco Gutierrez Md And Associates 401 S Alamo Rd Alamo TX 78516 Ph: (956) 787-9111 |
| NPI Number | 1558306563 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 1254389604 |
|---|---|
| Medicare Enrollment ID | O20050112000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558306563 | NPI | - | NPPES |
| 45D1052653 | Other | TX | CLIA # (MCALLEN CLINIC) |
| 45D1003540 | Other | TX | CLIA # (ALAMO CLINIC) |
| 292450801 | Medicaid | TX | |
| 080187673 | Other | TX | RAILROAD MEDICARE |
| 0076JF | Other | TX | BCBS OF TEXAS |
| 137950513 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4177 (Texas) | Primary |
| Provider Name | Marco A Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672572 PECOS PAC ID: 1951359314 Enrollment ID: I20100526000300 |
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