Organization
ST. VINCENT HOSPITAL
Active
Other names
St Vincent Camino Entrada Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
J ALEX VALDEZ (CEO PRESIDENT)
(505) 820-5227
Entity
Organization
Contact information
Practice address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
(505) 946-3234
Mailing address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
(505) 946-3234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18402020
—
NM
Enumeration date
03/23/2007
Last updated
02/12/2010
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