Gutierrez Mendiola, Antonio Enrique

Gutierrez Mendiola, Antonio Enrique is an individual health care provider with primary practice located at 11460 Pines Blvd , Pembroke Pines FL 33026-4128. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gutierrez Mendiola, Antonio Enrique can be contacted via phone (954) 874-5526.

Contact Information

Primary practice address
11460 Pines Blvd Pembroke Pines FL 33026-4128
Phone: (954) 874-5526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 36271R Puerto Rico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Puerto Rico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME168251 Florida

Profile Details

NPI number 1134742182
LBN Legal business name Gutierrez Mendiola, Antonio Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2020
Last updated Jul 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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