Fonceal Loren Gutierrez, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5093 Issued in NM

Practice address

5109 River Ridge PL NW
Albuquerque, NM 87114-1232

Phone

(505) 899-9776

NPI assigned

Jan 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1184929549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 RIVER RIDGE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141232",
            "telephone_number": "505-899-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 RIVER RIDGE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141232",
            "telephone_number": "505-899-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "FONCEAL",
        "middle_name": "LOREN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don P Gutierrez, D.M.D.
• Elisa Gutierrez, M.D.
• Eloy R Gutierrez Jr., D.D.S.
• Erika L Gutierrez
• Farley Gutierrez, RN
• Frances A Gutierrez, OT
• Gaston Alba Gutierrez, NP
• Gina Alejandra Gutierrez, RN
• Itzel Gutierrez
• Jasmine Gutierrez, MD

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.