| Doctor Name: | DR. JESUS E GUTIERREZ STONE |
| NPI Number: | 1396990461 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17349 |
| Business Practice Address: | 5804 Lake Underhill Rd Suite A Orlando, FL - 328074346 |
| Business Phone Number: | 4072036898 |
| Business Fax Number: | 4072036899 |
| Mailing Address: | 5804 Lake Underhill Rd, Suite A ORLANDO |
| State: | FL |
| Postal Code: | 328074346 |
| Phone Number: | 4072036898 |
| Fax Number: | 4072036899 |
| NPI Enumeration Date: | 11/17/2008 |
| NPI Last Update Date: | 05/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17349 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |