OrganizationActive
San Juan Regional Medical Center Inc
NPI 1508219916 · Family Medicine Physician · Bloomfield, NM
Provider details
- NPI number
- 1508219916
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Miller, Cfo(505) 609-6114
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
100 N Church St Ste C
Bloomfield, NM 87413-5754
Phone: (505) 609-6675
Fax: (505) 609-6579
Street-level locationGet directions
Mailing address
Po Box 6210
Farmington, NM 87499-6210
Other names (DBA / former)
- Doing business as
- San Juan Health Partners Walk-In Clinic
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2016-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.