Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Intensivists
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALEX VALDEZ (PRESIDENT / CEO)
(505) 820-5202
Entity
Organization
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 984-2600
(505) 983-7299
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 984-2600
(505) 983-7299
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
6296
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75773546
—
NM
Enumeration date
01/10/2011
Last updated
03/13/2012
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