Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

San Juan Regional Medical Center Inc

Organization Pediatrics Physician · NPI 1093800534

San Juan Regional Medical Center Inc provides Pediatrics Physician services 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

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