Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Adult and Family Care, Family Practice Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MONTOYA (PRESIDENT CEO)
(505) 913-5201
Entity
Organization
Contact information
Practice address
465 SAINT MICHAELS DR # 240, SANTA FE, NM 87505-7670
(505) 988-1232
(505) 984-1603
Mailing address
465 SAINT MICHAELS DR STE 230, SANTA FE, NM 87505-8602
(505) 913-4710
(505) 913-4711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48853321
—
NM
Enumeration date
07/06/2007
Last updated
06/11/2020
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