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Contact Information

MAVEL GUTIERREZ JARAMILLO, MD
75 PRINGLE WAY STE 505
RENO, NV89502-1469
 Phone: 813-974-2201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MAVEL GUTIERREZ JARAMILLO · (Female)

NPI Number 1649443680
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2008
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 56630
  • FL License # ME123953
  • NV License # 24178
  • VA License # 0101249815
  • AZ Medicaid 420458
  • FL Medicaid 015228600
  • FL Other 1502N3 BLUE CROSS BLUE SHIELD
  • VA Other C06778 GROUP PTAN
  • VA Other C09463 GROUP PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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