Gutierrez, Albert Manuel

Gutierrez, Albert Manuel is an sole proprietor health care provider with primary practice located at 208 E Farrel Rd , Lafayette LA 70508-7104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Gutierrez, Albert Manuel can be contacted via phone (337) 981-9110.

Contact Information

Primary practice address
208 E Farrel Rd Lafayette LA 70508-7104
Fax: (337) 981-8485
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 11023 R Louisiana

Profile Details

NPI number 1356339147
LBN Legal business name Gutierrez, Albert Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Oct 25th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356339147 NPPES
Louisiana MEDICAID 1659681

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