Gutierrez, Mario A Md Pa

LBN: Gutierrez, Mario A Md Pa
Gutierrez, Mario A Md Pa is an health care organization with primary practice located at 313 W. Country Club Rd Ste 14, Roswell NM 88201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Gutierrez, Mario A Md Pa can be contacted via phone (575) 625-0977, or through Gutierrez, Elsa via phone (575) 625-0977.

Contact Information

Primary practice address
313 W. Country Club Rd Ste 14 Roswell NM 88201
Phone: (575) 625-0977
Fax: (575) 625-1027
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez, Elsa
Phone: (575) 625-0977

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 91-213 New Mexico

Profile Details

NPI number 1144336389
LBN Legal business name Gutierrez, Mario A Md Pa
DBA Doing business as
Authorized official Gutierrez, Elsa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 30th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144336389 NPPES
New Mexico MEDICAID E1358

Popular Providers