Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Juan Carlos Gutierrez Jr., SFIDC

Individual provider Independent Duty Corpsman · NPI 1881390904

Juan Carlos Gutierrez Jr., SFIDC is registered under Independent Duty Corpsman in Newport, Rhode Island. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

291 Kollmeyer St
Newport, RI 02841-1605
Phone: (401) 841-3602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1881390904
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedJanuary 31, 2023
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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