Provider Demographics
NPI:1942428826
Name:GUTIERREZ HOLGUIN, JOSE DIONISIO (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:DIONISIO
Last Name:GUTIERREZ HOLGUIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:800-480-5243
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:829 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2084
Practice Address - Country:US
Practice Address - Phone:321-207-6108
Practice Address - Fax:321-207-6109
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-06-09
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Provider Licenses
StateLicense IDTaxonomies
ORMD125737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine