Provider Demographics
NPI:1508891086
Name:GUTIERREZ M.E.INC.
Entity Type:Organization
Organization Name:GUTIERREZ M.E.INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:786-337-3671
Mailing Address - Street 1:250 NW 107TH AVE APT 217
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3809
Mailing Address - Country:US
Mailing Address - Phone:786-337-3671
Mailing Address - Fax:305-649-2984
Practice Address - Street 1:215 SW 17TH AVE STE 317
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3690
Practice Address - Country:US
Practice Address - Phone:305-649-4256
Practice Address - Fax:305-649-2984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3204545332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5699890001Medicare ID - Type UnspecifiedMEDICAL EQUIPMENT