Provider Demographics
NPI:1215386081
Name:GUTIERREZ, RAMIRO MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:MARTIN
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 N MESA ST
Mailing Address - Street 2:STE 502
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4425
Mailing Address - Country:US
Mailing Address - Phone:915-588-1025
Mailing Address - Fax:
Practice Address - Street 1:7150 PRESTON RD
Practice Address - Street 2:BLDG 3 STE. 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3279
Practice Address - Country:US
Practice Address - Phone:972-846-0002
Practice Address - Fax:469-656-3808
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-12
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor