Gustavos Blue Shark

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GUSTAVOS BLUE SHARK

Practice address

7000 Diamond Ridge Dr
El Paso, TX 79912-7696

Phone

(915) 726-0787

Fax

(915) 496-0751

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Gilda Gil

Title

Board President

Phone

(915) 726-0787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1730450081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 DIAMOND RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127696",
            "telephone_number": "915-726-0787",
            "fax_number": "915-496-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 DIAMOND RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127696",
            "telephone_number": "915-726-0787",
            "fax_number": "915-496-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVOS BLUE SHARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "915-726-0787"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Gurrola-Ornelas
• Bianca Valentina Gurrola
• Jaime Gurrola
• Jennifer Gurrola, LVN
• Gustavo Martinez
• Mell F. Gutarra Arana, MD
• Gerardo Lorenzo Gutierez, RN
• Yuseinis Gutierrez Saez, OPTOMETRIST
• Gerardo Raul Gutierrez-Sierra
• Irene Gutierrez-Williams

• Developmentally Disabled Services Day Training Agency in El Paso, TX
• Providers in El Paso, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.