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

San Juan Regional Medical Center Inc

Organization Pediatrics Physician · NPI 1093800534

San Juan Regional Medical Center Inc is a Pediatrics Physician in Farmington, New Mexico. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 S Schwartz Ave Ste 102
Farmington, NM 87401-5925
Phone: (505) 609-6700
Fax: (505) 609-6701
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1093800534
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSan Juan Regional Medical Center Inc
Authorized official Kim Byrd — Administrative Director Of Reimburs · (505) 609-2258
Other names San Juan Pediatrics
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 844088, Dallas, TX 75284-4088

Other providers in Farmington