Frank M. Gustamantes, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2126 Issued in NM

Practice address

304 N Richardson Ave
Roswell, NM 88201-4639

Phone

(575) 578-0069

Fax

(575) 578-0124

NPI assigned

Aug 19, 2011

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1477833580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014639",
            "telephone_number": "575-578-0069",
            "fax_number": "575-578-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014639",
            "telephone_number": "575-578-0069",
            "fax_number": "575-578-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAMANTES",
        "first_name": "FRANK",
        "middle_name": "M.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "2126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Elizabeth Guerrero, MSN, RN, APRN, FNP-C
• Shelsy Guerrero
• Beatriz Guerrero,, MSW
• Tatiana Gurrola
• Ludivina Ophelia Gurule, OTR/L
• Gutierrez, Mario a MD PA
• Wayelene Haley
• Sherri Joann Hall-Crowhurst, MS CCC-SLP
• Anthonette Gene Hall, CNP
• Suzanne Hamel

• Occupational Therapy Assistant in Roswell, NM
• Providers in Roswell, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.