Organization
ST. VINCENT HOSPITAL
Active
Organization
ST. VINCENT HOSPITAL
Active
Other names
Arroyo Chamiso Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J ALEX VALDEZ (CEO)
(505) 820-5202
Entity
Organization
Contact information
Practice address
2025 SOUTH GALISTEO ST, SANTA FE, NM 87505-2101
(505) 995-4901
(505) 989-6483
Mailing address
455 SAINT MICHAELS DR, ATTN. CARLA GOMEZ, PHYSICIAN PRACTICES, SANTA FE, NM 87505-7601
(505) 820-5227
(505) 820-5645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46433
—
NM
Enumeration date
03/23/2007
Last updated
03/06/2009
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