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

Vanessa D Licona Sanjuan, MD

Individual provider Neurology Physician · NPI 1386958825

Vanessa D Licona Sanjuan, MD is a Neurology in Albuquerque, New Mexico. Qualified in 2003, 23 years ago. Practices with Southwest Medical Associates, LLC, a 325-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
23
Licensed in
NM
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 Walter St NE Ste 401
Albuquerque, NM 87102-2563
Phone: (505) 727-5910
Fax: (505) 727-5939
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD2012-0867 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386958825
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2010
Last updated in NPPESApril 19, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southwest Medical Associates, Llc — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Albuquerque