Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Presbyterian Healthcare Services

Organization Emergency Medicine Physician · NPI 1336124205

Presbyterian Healthcare Services is an Emergency Medicine Physician in Socorro, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.

Licensed in
NM
In the registry since
2005
Specialties on file
3

Practice location Address checks out

1202 Highway 60 W
Socorro, NM 87801-3914
Phone: (505) 835-1140
Fax: (505) 835-8716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence 3014 (NM)
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1336124205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Carmignani — Regulatory Compliance · (505) 923-5356
Other names Socorro Swing Bed Snf
NPI enumeratedDecember 13, 2005
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing addressPo Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666

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