Provider Demographics
NPI:1629280342
Name:GUTIERREZ, RAMON LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:LUIS
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:LOS CAMPOS DE MONTEHIEDRA 785
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7033
Mailing Address - Country:US
Mailing Address - Phone:787-415-4888
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO EL CENTRO II 500 MUNOZ RIVERA AVENUE
Practice Address - Street 2:SUITE 225
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-274-2600
Practice Address - Fax:787-751-7964
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR111592084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry