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 Family Medicine Physician · NPI 1861467433

San Juan Regional Medical Center Inc is a Family Medicine Physician in Aztec, New Mexico. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
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

120 Llano St
Aztec, NM 87410
Phone: (505) 334-3404
Fax: (505) 334-3486
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Psychiatry Physician Taxonomy 2084P0800X
Urology Physician Taxonomy 208800000X
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X

Record details

NPI number1861467433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Byrd — Administrative Director Of Reimburs · (505) 609-2588
Other names Sjrmc Aztec Clinic; San Juan Health Partners Family Medicine
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 844088, Dallas, TX 75284-4088

Other providers in Aztec