Gutierrez, Miguel Eduardo

Gutierrez, Miguel Eduardo is an sole proprietor health care provider with primary practice located at 3070 W 12Th Ave , Hialeah FL 33012-4836. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gutierrez, Miguel Eduardo can be contacted via phone (786) 313-0747.

Contact Information

Primary practice address
3070 W 12Th Ave Hialeah FL 33012-4836
Phone: (786) 313-0747
Fax: (786) 313-0749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100070 Florida

Profile Details

NPI number 1104924034
LBN Legal business name Gutierrez, Miguel Eduardo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated May 13th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104924034 NPPES
Florida MEDICAID 2926687-00

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