SAN JUAN REGIONAL MEDICAL CENTER INC – NPI #1861467433
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

SAN JUAN REGIONAL MEDICAL CENTER INC is a provider located in AZTEC, NM. NPPES has assigned the NPI number 1861467433 to SAN JUAN REGIONAL MEDICAL CENTER INC on February 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jul 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JUAN REGIONAL MEDICAL CENTER INC below.

NPI Profile for
SAN JUAN REGIONAL MEDICAL CENTER INC

NPI Number
1861467433
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JUAN REGIONAL MEDICAL CENTER INC
Other name(s)
All associated names:
Doing Business As (dba)
San Juan Health Partners Family Medicine
Doing Business As (dba)
SJRMC Aztec Clinic
Primary location
120 LLANO ST
AZTEC, NM 87410
Phone: (505) 334-3404 Fax: (505) 334-3486
1 Other location(s):
102 Llano St
Aztec, NM 87410-2172
Phone: (505) 334-9441
Fax: (505) 334-8750
Mailing address
PO BOX 844088
DALLAS, TX 75284-4088
Phone: (505) 609-2258 Fax: (505) 609-2259
Organization Subpart
No
Authorized Official
KIM BYRD
ADMINISTRATIVE DIRECTOR OF REIMBURS
Phone: (505) 609-2588
Updated
Certification Date
Jul 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAN JUAN REGIONAL MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNM000B7708
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LX0001X
- Nurse Practitioner / Obstetrics & Gynecology
208800000X
- Urology
2084P0800X
- Psychiatry & Neurology / Psychiatry
208100000X
- Physical Medicine & Rehabilitation
207RC0000X
- Internal Medicine / Cardiovascular Disease

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.