Individual ProviderJose GutierrezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517(915) 562-8525PECOS EnrollmentBased on the most recent information from CMS, provider Jose Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1568810497Provider TypeIndividualFull NameGutierrez, JoseTitleDr.CredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date6/1/2016Last Updated6/1/2016Contact InformationPractice LocationPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525FaxUnlisted FaxMailing LocationMailing Address6358 Edgemere Blvd, El Paso, TX 79925-3517PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1274161Texas