Organization
GUTIERREZ MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ROMERO RHIT (OFFICE MANAGER)
(505) 287-2948
Entity
Organization
Contact information
Practice address
1010 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-2948
(505) 287-5372
Mailing address
1010 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-2948
(505) 287-5372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44636
—
NM
Enumeration date
02/08/2006
Last updated
08/22/2020
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