# NEW MEXICO SEXUALLY TRANSMITTED DISEASE PREVENTION PROGRAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073714879
- **Authorized official:** MR. JAIME G. VEGA-HERNANDEZ (PROGRAM MANAGER)
- **Authorized official phone:** (505) 476-3611

## Contact information

- **Practice address:** 1190 S SAINT FRANCIS DR, SUITE SOUTH 1150, SANTA FE, NM 87505-4173
- **Practice address phone:** (505) 476-3611
- **Practice address fax:** (505) 476-3638
- **Mailing address:** 1190 S SAINT FRANCIS DR, SUITE SOUTH 1150, SANTA FE, NM 87505-4173
- **Mailing address phone:** (505) 476-3611
- **Mailing address fax:** (505) 476-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 09/06/2007