Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Rafael Gutierrez, MD

Individual provider Pediatrics Physician · NPI 1104453661

Dr. Rafael Gutierrez, MD is a Pediatrics Physician in Phoenix, Arizona. Works from 2 locations. Licensed in Missouri and Wisconsin.

Licensed in
MO, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Childrens Pl Msc 8116-0043-08, St Louis, MO 63110 — (314) 454-4826

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2023008506 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 76314-20 (WI)

Record details

NPI number1104453661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

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