GUSTAVO GUTIERREZ


Address: 800 S County Line Dr, Chaparral, NM 88081
Phone: 5758240820

GUSTAVO GUTIERREZ (NPI# 1700242112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700242112
Entity Type Individual
Full Name GUSTAVO GUTIERREZ
Credential CPNP
Practice Address 800 S County Line Dr
Chaparral
NM 88081
Mailing Address 385 Calle De Alegra
Bldg. A
Las Cruces
NM 88005-3423
Practice Telephone 5758240820
Practice Fax Number 5758241021
Mailing Telephone 5755261105
Mailing Fax Number 5755244266
Enumeration Date 2016-01-14
Last Update Date 2018-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
CNP-02890 NM Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP129867 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 48681253 05
NM MEDICARE 507110YRND 01

Other Providers GUSTAVO GUTIERREZ

NPI Name Taxonomy Address Enumeration
1205185311 Gustavo Gutierrez Jr. Physical Therapist 7911 Nw 72 Ave, Suite 111, Miami, FL 33166 2012-09-05
1346554896 Gustavo J Gutierrez Social Worker 16201 Sw 95th Ave Ste 201, Miami, FL 33157-3459 2010-07-27
1841470754 Gustavo Gutierrez Nurse Anesthetist, Certified Registered 902 N Grand Ave Ste 100, Santa Ana, CA 92701-4223 2007-11-07
1356583025 Gustavo Gutierrez Rehabilitation Practitioner 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 2009-03-27

Office Location

Street Address 800 S COUNTY LINE DR
City CHAPARRAL
State NM
Zip Code 88081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235787193 Alejandra Galindo Social Worker 800 S County Line Dr, Chaparral, NM 88081-7830 2019-09-03
1215493424 Tawni Petrungaro Registered Nurse 800 S County Line Dr, Chaparral, NM 88081-7830 2019-02-12
1912358300 Sara Rufasto Social Worker 800 S County Line Dr, Chaparral, NM 88081-7830 2016-06-27
1962862938 La Clinica De Familia, Inc. Clinic/Center 800 S County Line Dr, Chaparral, NM 88081 2016-03-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770017832 Apothecary Pharmacy PC Pharmacy 550 E. Lisa Ste C, Chaparral, NM 88081 2017-04-16
1134577430 Carole Decastro Registered Nurse 800 County Line Rd., Chaparral, NM 88081 2016-05-26
1174845143 Presbyterian Medical Services Clinic/Center 204 Angelina Blvd., Chaparral, NM 88081 2010-02-18
1407094980 The Community Foundation of Southern New Mexico Clinic/Center 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 2009-01-22
1922210764 Homer Avalos Avalos Counselor 336 Geronimo, Chapparal, NM 88081 2007-05-04
1063953859 Bertha Martinez Nurse Practitioner 510 E Lisa Dr, Chaparral, NM 88081 2017-03-14
1144768417 Leasette Marie Hernandez Social Worker 510 E Lisa Dr, Chaparral, NM 88081 2017-02-07
1730630633 Mary Baddour Dentist 510 E Lisa Dr, Chaparral, NM 88081 2016-10-17
1730400870 Jesus Hernandez Nurse Practitioner 510 E Lisa Dr, Chaparral, NM 88081 2010-06-11
1447450002 Gaston Alberto Berrios Family Medicine 510 E Lisa Dr, Chaparral, NM 88081 2007-07-23
Find all providers in zip 88081

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558960153 Renea M Reano Nurse Practitioner 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 2020-10-23
1104433952 Joli Ann Martinez Nurse Practitioner 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 2020-09-25
1124642772 Little Steps Pediatrics LLC Nurse Practitioner 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 2020-05-29
1558865980 Kirsten Shelby Guerra Nurse Practitioner 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 2018-03-21
1225552094 Sacheen Diahn Naddy Nurse Practitioner 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 2017-08-02
1336661958 Camille Caroline Walker Nurse Practitioner 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 2017-07-14
1689040461 Elizabeth Rodgers Nurse Practitioner 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 2015-08-17
1891026563 Lori Myers Nurse Practitioner 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 2010-01-20
1972833523 Deborah J Angeles Nurse Practitioner 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 2010-01-04
1093043283 Nadine Marie Hober Nurse Practitioner 25 Llano Del Norte, Placitas, NM 87043-8306 2009-11-26
Find all providers with the same taxonomy

Competitor

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City CHAPARRAL
Zip Code 88081

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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