Provider Demographics
NPI:1831261262
Name:GUTIERREZ, MARIA DEL PILAR (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL PILAR
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1131 N 35TH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5403
Mailing Address - Country:US
Mailing Address - Phone:954-989-5010
Mailing Address - Fax:954-989-6430
Practice Address - Street 1:1131 N 35TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5403
Practice Address - Country:US
Practice Address - Phone:954-989-5010
Practice Address - Fax:954-989-6430
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME734382080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252954800Medicaid
FL650971927OtherTAX ID