Provider Demographics
NPI:1720978117
Name:GUTIERREZ, DINORAH DENISE
Entity type:Individual
Prefix:MRS
First Name:DINORAH
Middle Name:DENISE
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10337 SHADOWY DUSK
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2860
Mailing Address - Country:US
Mailing Address - Phone:469-826-7773
Mailing Address - Fax:
Practice Address - Street 1:10337 SHADOWY DUSK
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2860
Practice Address - Country:US
Practice Address - Phone:469-826-7773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40107251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health