DR. CHRISTIAN GUTIERREZ MD
NPI 1104610898
Student in an Organized Health Care Education/Training Program in San Angelo, TX

Active since April 07, 2025PECOS Enrolled
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 747-1511 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Christian Gutierrez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTIAN GUTIERREZ MD (NPI 1104610898) is an individual student in an organized health care education/training program provider in San Angelo, Texas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated April 7, 2025.

NPPES Registry Identity

NPI1104610898
Entity TypeIndividualMale
Provider Legal NameDR. CHRISTIAN GUTIERREZCredential: MD
Location Address3555 KNICKERBOCKER RDSan Angelo, TX 76904-7610
Mailing Address3555 Knickerbocker RdSan Angelo, TX 76904-7610
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 5, 2025
NPI 1104610898 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3555 KNICKERBOCKER RD, San Angelo, TX 76904

Medicare Participation & PECOS Enrollment Status

Christian Gutierrez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. CHRISTIAN GUTIERREZ MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Dentist (Pediatric Dentistry)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Dermatology
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Pediatrics)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Podiatrist
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Family)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Psychiatric/Mental Health)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Family Medicine
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Counselor (Professional)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physician Assistant
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104610898, enumerated as an "individual" on April 07, 2025.

The provider is located at 3555 KNICKERBOCKER RD SAN ANGELO, TX 76904 and the phone number is (325) 747-1511.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.