Most Relevant Information
Provider Data
| NPI Number: | 1003437831 |
| Provider Name: | MARISOL GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11006932 |
Most Important Dates
| Enumeration Date: | 05/04/2020 |
| Last Updated: | 05/04/2020 |
Provider Practice Location
12515 SW 88TH ST
MIAMI
FL
331861829
Practice Location Phone/Fax
| Phone: | 3056425366 |
| Fax: |
Provider Mailing Location
9380 SW 163RD PL
MIAMI
FL
331961070
Provider Mailing Phone/Fax
| Phone: | 7863120582 |
| Fax: |