Organization Active NPI

Medical Vip Services PLLC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1063209732
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDICAL VIP SERVICES PLLC
Practice address
2829 Montana Ave Ste 218a
El Paso, TX 79903-2431
Phone
(866) 891-8424
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Gutierrez, FNP-CNPI 1528292398
Title
Owner - Sole Member
Phone
(915) 487-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2829 Montana Ave Ste 218a
El Paso, TX 79903-2431

Mailing address

1759 Ritz PL
El Paso, TX 79936-4373
Phone (915) 487-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620000208 TX Part B Supplier - Clinic/Group Practice 7719499318 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2208894Medical Vip Services PLLC2829 Montana Suite 218, El Paso, TX 79903Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

2829 Montana Ave
Ste 218A
El Paso, TX 79903
Phone (866) 891-8424

2829 Montana Ave
El Paso, TX 79903
Phone (866) 891-8424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1063209732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 RITZ PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364373",
            "telephone_number": "915-487-1800",
            "fax_number": "915-487-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 MONTANA AVE STE 218A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032431",
            "telephone_number": "866-891-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL VIP SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER - SOLE MEMBER",
        "authorized_official_telephone_number": "915-487-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.