Organization
ST. VINCENT HOSPITAL
Active
Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Dermatology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MONTOYA (CEO)
(505) 913-5201
Entity
Organization
Contact information
Practice address
490 W ZIA RD STE 200, SANTA FE, NM 87505-6996
(505) 913-3380
(505) 913-3389
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3380
(505) 913-3389
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3635
CSV DEPT CODE
—
05
—
79680364
—
NM
Enumeration date
02/19/2018
Last updated
06/11/2026
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