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

San Juan Regional Medical Center Inc

Organization Obstetrics & Gynecology Physician · NPI 1124262415

San Juan Regional Medical Center Inc is an Obstetrics & Gynecology Physician in Farmington, New Mexico. Works from 3 locations. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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

655 W Pinon St
Farmington, NM 87401-5973
Phone: (505) 609-2590
Fax: (505) 609-2595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 634 W Pinon St, Farmington, NM 87401-5915 — (505) 325-4898
  • 610 W Pinon St, Farmington, NM 87401-5974 — (505) 325-1123

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X

Record details

NPI number1124262415
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 Regional Midwifery & Womens Health Center; San Juan Regional Midwifery & Womens Health Center; Sjhp Ob & Gyn 610; Sjhp Ob & Gyn 634
NPI enumeratedApril 30, 2009
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 844088, Dallas, TX 75284-4088

Other providers in Farmington