GUSTAVO GUTIERREZ (NPI# 1700242112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 48681253 | 05 | |
NM | MEDICARE | 507110YRND | 01 |
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 |
Street Address |
800 S COUNTY LINE DR |
City | CHAPARRAL |
State | NM |
Zip Code | 88081 |
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 |
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 Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
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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.