Gutierrez, Roland Fernandez

Gutierrez, Roland Fernandez is an sole proprietor health care provider with primary practice located at 1025 Military Trl Ste 109 , Jupiter FL 33458-7040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gutierrez, Roland Fernandez can be contacted via phone (561) 741-0000.

Contact Information

Primary practice address
1025 Military Trl Ste 109 Jupiter FL 33458-7040
Phone: (561) 741-0000
Fax: (561) 741-0002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME88888 Florida

Profile Details

NPI number 1255436390
LBN Legal business name Gutierrez, Roland Fernandez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1255436390 NPPES
Florida MEDICAID 268797600

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