Graduated: 2008
NPI: 1780136085
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
120 LLANO ST
AZTEC, NM 874102172
5053343404
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST
FARMINGTON, NM 874015630
Source: CMS National Downloadable File, September 2026.