- Practice location
- 318 Knickerbocker Ave, Brooklyn, NY 11237-3888
- Phone
- 718-765-6056
- Fax
- 347-803-1874
- Last updated
- May 14, 2024
Luis Miguel Gutierrez is a Nurse Practitioner, Adult Health based in Brooklyn, NY. Luis Miguel Gutierrez practices in Brooklyn, NY. The NPI Number for Luis Miguel Gutierrez is 1215799556 and holds a License No. 26NJ14990800 (NJ). The current practice location address for Luis Miguel Gutierrez is 318 Knickerbocker Ave, Brooklyn, NY 11237-3888 and can be reached out via phone at 718-765-6056 and via fax at 347-803-1874.
Provider Profile Details
- NPI Number
- 1215799556
- Provider Name
- Luis Miguel Gutierrez
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 318 Knickerbocker Ave, Brooklyn, NY 11237-3888
- Phone Number
- 718-765-6056
- Fax Number
- 347-803-1874
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 23, 2024
- Last Update Date
- May 14, 2024
- Certification Date
- May 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 318 Knickerbocker Ave
Brooklyn, NY 11237-3888 - City
- Brooklyn
- State
- New York
- Zip
- 11237-3888
- Phone Number
- 718-765-6056
- Fax Number
- 347-803-1874
Provider Business Mailing Address Details
- Address
- Po Box 746087
Atlanta, GA 30374-6087 - City
- Atlanta
- State
- GA
- Zip
- 30374-6087
- Phone Number
- 312-733-9730
License Information
- License Number (1)
- 26NJ14990800
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Gerontology · 363LG0600X
- License Number (2)
- 311655
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Luis M Gutierrez?
The NPI number of Luis M Gutierrez is 1215799556. It was assigned on January 23, 2024 and is currently active in the NPPES registry.
What is the specialty of Luis M Gutierrez?
Luis M Gutierrez is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ14990800.
Where does Luis M Gutierrez practice?
The practice location is 318 Knickerbocker Ave, Brooklyn, NY 11237-3888. The office can be reached at 718-765-6056 (phone) or 347-803-1874 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215799556 directly on the NPPES registry website.