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

St Jude Medical Center Corp

Organization General Practice Physician · NPI 1760038350

St Jude Medical Center Corp provides General Practice Physician services in Albuquerque, New Mexico. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Gold Ave SW Ste 220
Albuquerque, NM 87102-3278
Phone: (682) 309-8936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1760038350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Uyama Fernandez — President · (682) 309-8936
NPI enumeratedAugust 10, 2019
Last updated in NPPESAugust 13, 2019
Mailing address400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278

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