Organization
ST. VINCENT HOSPITAL
Active
Other names
Diabetes Center of Excellence
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 115, SANTA FE, NM 87505-7670
(505) 946-4307
(505) 946-4308
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 946-4307
(505) 946-4308
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916200
—
NM
Enumeration date
02/28/2008
Last updated
02/12/2010
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