OTTO EUGENIO GUTIERREZ (NPI# 1538179056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538179056 |
| Entity Type | Individual |
| Full Name | OTTO EUGENIO GUTIERREZ |
| Credential | D.O. |
| Practice Address |
206 San Pedro Ave Ste 100 San Antonio TX 78205-1128 |
| Practice Telephone | 2102250808 |
| Practice Fax Number | 2102250829 |
| Mailing Telephone | 2102250808 |
| Mailing Fax Number | 2102250829 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
E9214 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHYSICIAN LICENSE NO | E9214 | 01 |
| TX | 113908102 | 05 |
| Street Address |
206 SAN PEDRO AVE STE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649659178 | Charles Wes Clements IIi | Family Medicine | 8203 Fredericksburg Rd, San Antonio, TX 78229-3313 | 2015-05-29 |
| 1992127278 | Morris Spector | Family Medicine | 128 La Manda Blvd, San Antonio, TX 78212-1137 | 2014-01-06 |
| 1720298367 | Hmg Medical Group, P.a. | Family Medicine | 13750 Us 281 North, #140, San Antonio, TX 78232 | 2007-05-23 |
| 1700810983 | Rebecca Elizabeth Fidellow | Family Medicine | 4415 Centerview, San Antonio, TX 78228-1403 | 2006-07-11 |
| 1538659263 | Sholar-chen Serenity Medical Centers, Pllc | Family Medicine | 818 Lexington Ave, San Antonio, TX 78212 | 2018-05-17 |
| 1083055172 | Williams Health Care Pllc | Family Medicine | 3326 Sable Crk, San Antonio, TX 78259-2219 | 2013-07-17 |
| 1376844555 | Priya Pillai Indira | Family Medicine | 4318 Woodcock Dr Ste 120, San Antonio, TX 78228-1315 | 2010-11-04 |
| 1598970725 | Abc Family Medicine Pa | Family Medicine | 7400 Crestway, San Antonio, TX 78233 | 2007-05-11 |
| 1346334919 | Teresa Diane Boyd | Family Medicine | 7400 Merton Minter, San Antonio, TX 78229 | 2006-10-03 |
| 1962597518 | Bernadette Marie Yvonne Auricht | Family Medicine | 5788 Eckhert Rd, San Antonio, TX 78240 | 2006-10-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78205 |
Please comment or provide details below to improve the information on OTTO EUGENIO GUTIERREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.