OrganizationActive
San Juan Regional Medical Center Inc
NPI 1104142215 · Surgery Physician · Farmington, NM
Provider details
- NPI number
- 1104142215
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Byrd, Administrative Director of Reimburs(505) 609-2258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
735 W Animas St
Farmington, NM 87401-5616
Phone: (505) 609-6300
Fax: (505) 609-6749
Street-level locationGet directions
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Other names (DBA / former)
- Doing business as
- Sjr General Surgeons
- Doing business as
- Sjr General Surgeons
Registry dates
- Enumerated
- 2010-04-14
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.