Provider Demographics
NPI:1134452279
Name:GUTIERREZ ORDONEZ, ANDRES FELIPE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:FELIPE
Last Name:GUTIERREZ ORDONEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 WASHINGTON ST NE
Mailing Address - Street 2:APT 202
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-8835
Mailing Address - Country:US
Mailing Address - Phone:210-902-9206
Mailing Address - Fax:
Practice Address - Street 1:1102 MONROE ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5029
Practice Address - Country:US
Practice Address - Phone:256-469-7200
Practice Address - Fax:256-734-9181
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.34084207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL171670Medicaid
AL171670Medicaid