1649200734 NPI number — GUILLERMO A GUTIERREZ-CALLEROS MD

Table of content: GUILLERMO A GUTIERREZ-CALLEROS MD (NPI 1649200734)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649200734 NPI number — GUILLERMO A GUTIERREZ-CALLEROS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUTIERREZ-CALLEROS
Provider First Name:
GUILLERMO
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649200734
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4722 N 24TH ST
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85016-4800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-256-4628
Provider Business Mailing Address Fax Number:
602-957-9438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4722 N 24TH ST
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85016-4800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-256-4628
Provider Business Practice Location Address Fax Number:
602-957-9438
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  16667 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2080N0001X , with the licence number: 16667 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 118762 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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