Gutierrez, Ernesto
Gutierrez, Ernesto is an individual health care provider with primary practice located at 1260 S Campbell Ave Bldg 2 , Green Valley AZ 85614-0502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gutierrez, Ernesto can be contacted via phone (520) 407-5400.Contact Information
Primary practice address
1260 S Campbell Ave Bldg 2
Green Valley AZ 85614-0502
Phone: (520) 407-5400
Fax: (520) 407-5990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16627 | Arizona |
Profile Details
| NPI number | 1366595605 |
|---|---|
| LBN Legal business name | Gutierrez, Ernesto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jan 31st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366595605 | NPPES |
| Arizona | MEDICAID | 277401 |
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