Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St Vincent Breast Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MONTOYA (CEO)
(505) 913-5202
Entity
Organization
Contact information
Practice address
490A W ZIA RD STE 200, SANTA FE, NM 87505-7007
(505) 913-3101
(505) 913-3102
Mailing address
490A W ZIA RD STE 200, SANTA FE, NM 87505-7007
(505) 913-3101
(505) 913-3102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20521821
—
NM
Enumeration date
06/02/2009
Last updated
06/11/2020
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