Gutierrez-Jaramillo, Mavel
Gutierrez-Jaramillo, Mavel is an individual health care provider with primary practice located at 75 Pringle Way Ste 505 , Reno NV 89502-1469. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Gutierrez-Jaramillo, Mavel can be contacted via phone (813) 974-2201.Contact Information
Primary practice address
75 Pringle Way Ste 505
Reno NV 89502-1469
Phone: (813) 974-2201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | ME123953 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 0101249815 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 56630 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 24178 | Nevada |
Profile Details
| NPI number | 1649443680 |
|---|---|
| LBN Legal business name | Gutierrez-Jaramillo, Mavel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Dec 18th, 2023 - about last year |
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 | 1649443680 | NPPES |
| Virginia | Other | C09463 | GROUP PTAN |
| Virginia | MEDICAID | 015228600 | GROUP PTAN |
| Virginia | MEDICAID | 420458 | GROUP PTAN |
| Virginia | Other | 1502N3 | GROUP PTAN |
| Virginia | Other | C06778 | GROUP PTAN |
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