Organization · Type 2 NPI

San Juan Regional Medical Center Inc

Family Medicine Physician · Aztec, NM

NPI number 1861467433 Active

Practice location

120 Llano St
Aztec, NM 87410

Fax (505) 334-3486

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Other practice locations

  • 102 Llano St, Aztec, NM 87410-2172 · (505) 334-9441

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Psychiatry Physician 2084P0800XNone listed
Urology Physician 208800000XNone listed
Obstetrics & Gynecology Nurse Practitioner 363LX0001XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Aztec

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About NPI 1861467433

San Juan Regional Medical Center Inc's National Provider Identifier is 1861467433, issued on Feb 17, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Aztec, NM. The record was last updated on Jul 16, 2025.