DR. KARL R GUTIERREZ MD NPI 1790758571

NPI Information

  • NPI: 1790758571
  • Provider Name: DR. KARL R GUTIERREZ, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1010 E ROOSEVELT AVE
    GRANTS, NM
    ZIP 87020
  • Phone: (505) 287-2948

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NPI Details

DR. Karl R Gutierrez, MD is a specialist in Grants, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Karl R Gutierrez, MD NPI is 1790758571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 E ROOSEVELT AVE
GRANTS, NM
ZIP 87020-118
Phone: (505) 287-2948
Fax: (505) 287-5372

The enumeration date for this NPI number is 2/10/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist79-171NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121162MEDICAIDNEW MEXICO
2E46823MEDICARE UPINNEW MEXICO
32371757MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
444636MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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