Gutierrez Medical Group Pa

LBN: Gutierrez Medical Group Pa
Gutierrez Medical Group Pa is an health care organization with primary practice located at 1010 E Roosevelt Ave , Grants NM 87020-2118. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gutierrez Medical Group Pa can be contacted via phone (505) 287-2948, or through Romero, Maria via phone (505) 287-2948.

Contact Information

Primary practice address
1010 E Roosevelt Ave Grants NM 87020-2118
Phone: (505) 287-2948
Fax: (505) 287-5372
Website:
Map and Directions
Authorized official contact:
Name: Romero, Maria Registered Health Information Technician (RHIT)
Phone: (505) 287-2948

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1356314504
LBN Legal business name Gutierrez Medical Group Pa
DBA Doing business as
Authorized official Romero, Maria Registered Health Information Technician (RHIT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356314504 NPPES
New Mexico MEDICAID 44636

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