Organization
ST. VINCENT HOSPITAL
Active
Other names
Santa Fe Geriatrics and Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
J ALEX VALDEZ (PRESIDENT/CEO)
(505) 820-5202
Entity
Organization
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 114, SANTA FE, NM 87505-7670
(505) 946-4260
(505) 946-4261
Mailing address
465 SAINT MICHAELS DR, SUITE 114, SANTA FE, NM 87505-7670
(505) 946-4260
(505) 946-4261
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65352076
—
NM
Enumeration date
11/28/2007
Last updated
03/13/2012
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