Gutierrez, Mario a MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

91-213 Issued in NM

Legal business name

GUTIERREZ, MARIO A MD PA

Practice address

313 W. Country Club Rd
Ste 14
Roswell, NM 88201

Phone

(575) 625-0977

Fax

(575) 625-1027

NPI assigned

Aug 21, 2006

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elsa Gutierrez

Title

Office Manager

Phone

(575) 625-0977

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1144336389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W. COUNTRY CLUB RD",
            "address_2": "STE 14",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-625-0977",
            "fax_number": "575-625-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W. COUNTRY CLUB RD",
            "address_2": "STE 14",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-625-0977",
            "fax_number": "575-625-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ, MARIO A MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-625-0977"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "91-213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E1358",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelsy Guerrero
• Beatriz Guerrero,, MSW
• Tatiana Gurrola
• Ludivina Ophelia Gurule, OTR/L
• Frank M. Gustamantes, COTA
• Wayelene Haley
• Sherri Joann Hall-Crowhurst, MS CCC-SLP
• Anthonette Gene Hall, CNP
• Suzanne Hamel
• Mary Beth Hanagan, LMSW

• Neurological Surgery Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Neurological Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.