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Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Other names
SJRMC Aztec Clinic, San Juan Health Partners Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2588
Entity
Organization
Contact information
Practice address
120 LLANO ST, AZTEC, NM 87410
(505) 334-3404
(505) 334-3486
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B7708
—
NM
Enumeration date
02/17/2006
Last updated
07/16/2025
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