Active NPI
Medical Vip Services PLLC
- Family Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Gutierrez, FNP-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2208894 | Medical Vip Services PLLC | Certificate of waiver | Jul 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- El Paso, TX
- NPI 1528292398
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.