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MEDICAL VIP SERVICES PLLC
NPI 1063209732
Nurse Practitioner - Family in El Paso, TX

Active since April 24, 2025CLIA 45D2208894 · Waiver
2829 MONTANA AVE STE 218A, EL PASO, TX 79903(866) 891-8424 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Vip Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL VIP SERVICES PLLC (NPI 1063209732) is a healthcare organization registered as a family in El Paso, Texas and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Robert Gutierrez, Owner - Sole Member, as its authorized official.

NPPES Registry Identity

NPI1063209732
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMEDICAL VIP SERVICES PLLC
Location Address2829 MONTANA AVE STE 218AEl Paso, TX 79903-2431
Mailing Address1759 Ritz PlEl Paso, TX 79936-4373 · (915) 487-1800 · Fax (915) 487-1800
Phone(866) 891-8424
Organization SubpartNo
Authorized OfficialRobert GutierrezOwner - Sole Member · (915) 487-1800
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1063209732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2829 MONTANA AVE STE 218A, El Paso, TX 79903
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2208894

Medical Vip Services PLLC · El Paso, TX
Active · expires Jul 17, 2027
CLIA Number45D2208894
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorRobert M. Gutierrez
Laboratory Phone(915) 487-1800
Laboratory LocationMedical Vip Services PLLC2829 Montana Suite 218, El Paso, TX 79903
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Vip Services PLLC's NPI number?

The NPI number for Medical Vip Services PLLC is 1063209732. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Medical Vip Services PLLC located?

Medical Vip Services PLLC is located at 2829 Montana Ave Ste 218A, El Paso, TX 79903. The listed phone number is (866) 891-8424.

What is Medical Vip Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Medical Vip Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2208894) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Vip Services PLLC was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.