DR. Mario Gutierrez, M.D. is a student in an organized health care education training program in Peoria, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Mario Gutierrez, M.D. NPI is 1801283635. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1109 W MAIN ST APT 505
PEORIA, IL
ZIP 61606-385
Phone: (714) 349-5704
The NPI 1801283635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/20/2015 and was last updated on 12/6/2021.