Organization
ST. VINCENT HOSPITAL
Active
Other names
Rodeo Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
J ALEX VALDEZ (CEO PRESIDENT)
(505) 820-5227
Entity
Organization
Contact information
Practice address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994
(505) 473-1274
Mailing address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 417-8994
(505) 473-1274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60383054
—
NM
Enumeration date
03/26/2007
Last updated
03/13/2012
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