Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Plastics and Reconstruction Services
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MONTOYA (CEO/PRESIDENT)
(505) 913-5201
Entity
Organization
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 204, SANTA FE, NM 87505
(505) 913-3101
Mailing address
455 ST MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5227
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
NM
Other
Enumeration date
07/22/2013
Last updated
08/09/2018
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