Provider Demographics
NPI:1326035189
Name:GUTIERREZ, HECTOR HERNAN (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:HERNAN
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-9583
Mailing Address - Fax:205-638-2850
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9583
Practice Address - Fax:205-638-2850
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.16531208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009957835Medicaid
AL510-88390OtherBCBS
AL515-22964OtherBCBS
AL4465053OtherAETNA
AL101872Medicaid
AL510-88390OtherBCBS
AL009957835Medicaid