Organization · Type 2 NPI

San Juan Regional Medical Center Inc

Surgery Physician · Farmington, NM

NPI number 1104142215 Active

Practice location

735 W Animas St
Farmington, NM 87401-5616

Call (505) 609-6300 Map

Fax (505) 609-6749

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

12 other providers at this address

Other surgery physician providers in Farmington

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NPI record

NPI: 1104142215
Entity type: Organization (Type 2)
Issued: Apr 14, 2010
Last updated: Jul 16, 2025
Status: Active

Other names

<unavail>
SJR General Surgeons · doing business as
SJR General Surgeons · doing business as

Authorized official

Kim Byrd
Administrative Director of Reimburs
(505) 609-2258

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104142215

San Juan Regional Medical Center Inc's National Provider Identifier is 1104142215, issued on Apr 14, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Farmington, NM. The record was last updated on Jul 16, 2025.