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San Juan Regional Medical Center Inc

Family Medicine Physician in Aztec, NM · enumerated 2006 · authorized official Kim Byrd, Administrative Director of Reimburs.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861467433

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Registry record

Entity type Organization (Type 2)
Legal business name San Juan Regional Medical Center Inc
Other name <Unavail>
Practice address 120 Llano St, Aztec, NM, 87410
Phone (505) 334-3404
Fax (505) 334-3486
Enumeration date Feb 17, 2006
Last updated in NPPES Jul 16, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
363LX0001X Obstetrics & Gynecology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kim Byrd
Title Administrative Director of Reimburs
Phone (505) 609-2588

Other identifiers

Identifier Type State Issuer
000B7708 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is San Juan Regional Medical Center Inc?
San Juan Regional Medical Center Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-16.