National Provider Identifier Database

GUTIERREZ MEDICAL GROUP PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

GUTIERREZ MEDICAL GROUP PA
1010 E ROOSEVELT AVE
GRANTS, NM87020-2118
Phone: 505-287-2948
Fax: 505-287-5372
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GUTIERREZ MEDICAL GROUP PA

NPI Number 1356314504
Legal business name
LBN
GUTIERREZ MEDICAL GROUP PA
Authorized official MARIA ROMERO - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 44636

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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