Organization
ST. VINCENT HOSPITAL
Active
Organization
ST. VINCENT HOSPITAL
Active
Other names
St. Vincent Regional Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
J ALEX VALDEZ (PRESIDENT/CEO)
(505) 820-5202
Entity
Organization
Contact information
Practice address
1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 87505-4728
(505) 946-3220
(505) 946-3128
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 946-3220
(505) 946-3128
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46537520
—
NM
Enumeration date
10/25/2007
Last updated
02/11/2010
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