Organization
ST. VINCENT HOSPITAL
Active
Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALEX VALDEZ (CEO/PRESIDENT)
(505) 913-5201
Entity
Organization
Contact information
Practice address
1630 HOSPITAL DR STE D, SANTA FE, NM 87505-4772
(505) 982-3534
(505) 982-8458
Mailing address
455 SAINT MICHAELS DR, PHYSICIAN PRACTICES, SANTA FE, NM 87505-7601
(505) 982-3534
(505) 982-8458
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15230724
—
NM
Enumeration date
05/27/2011
Last updated
03/13/2012
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