OrganizationActive
San Juan Surgical, LLC
NPI 1508176850 · Vascular Surgery Physician · Farmington, NM
Provider details
- NPI number
- 1508176850
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Robison, Owner(505) 327-9694
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
622 W Maple St Ste C
Farmington, NM 87401-6589
Phone: (505) 327-9694
Approximate (ZIP-level) locationGet directions
Mailing address
622 W Maple St Ste C
Farmington, NM 87401-6589
Registry dates
- Enumerated
- 2010-10-19
- Last updated
- 2010-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.