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 Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · NPI 1174820153

San Juan Regional Medical Center Inc is an Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Farmington, New Mexico. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
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

4820 E Main St
Farmington, NM 87402-8660
Phone: (505) 609-6610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4251 English Rd, Farmington, NM 87402-1116 — (505) 609-6610

Specialties & licences

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PE0005X

Record details

NPI number1174820153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Byrd — Administrative Director Of Reimburs · (505) 609-2258
Other names Sjr Wound Treatment Center; Sjrmc Wound Treatment Center
NPI enumeratedFebruary 28, 2011
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 844088, Dallas, TX 75284-4088