OrganizationActive
San Juan Regional Medical Center Inc
NPI 1225076003 · Internal Medicine Physician · Farmington, NM
Provider details
- NPI number
- 1225076003
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- San Juan Regional Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Kim Byrd, Administrative Director of Reimburs(505) 609-2258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
407 S. Schwartz Ave
Suite 201
Farmington, NM 87401-5973
Phone: (505) 609-6730
Fax: (505) 609-6749
Street-level locationGet directions
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Other names (DBA / former)
- Doing business as
- Sjrmc Internal Medicine
Registry dates
- Enumerated
- 2006-06-03
- 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.