SAN JUAN SURGICAL, LLC
NPI 1508176850
Surgery - Vascular Surgery in Farmington, NM

Q: What is San Juan Surgical, LLC's NPI number?

The NPI number for San Juan Surgical, LLC is 1508176850. It was assigned to this organization in the NPPES registry on October 19, 2010.

Q: What is San Juan Surgical, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since October 19, 2010

622 W MAPLE ST STE C, FARMINGTON, NM 87401(505) 327-9694 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About San Juan Surgical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JUAN SURGICAL, LLC (NPI 1508176850) is a healthcare organization registered as a vascular surgery in Farmington, New Mexico and active in the NPI registry since October 2010. The organization lists Amy M Robison, Owner, as its authorized official.

NPPES Registry Identity

NPI1508176850

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSAN JUAN SURGICAL, LLC

Location Address622 W MAPLE ST STE CFarmington, NM 87401-6589

Mailing Address622 W Maple St Ste CFarmington, NM 87401-6589 · (505) 327-9694

Phone(505) 327-9694

Organization SubpartNo

Authorized OfficialAmy M RobisonOwner · (505) 327-9694

Enumeration DateOctober 19, 2010

✔ NPI 1508176850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

Also ListedSurgeryTaxonomy 208600000X

622 W MAPLE ST STE C, Farmington, NM 87401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDICE SELGADO PA-C

Physician Assistant

622 W MAPLE ST STE C
FARMINGTON, NM 87401

San Juan County (505) 327-9694

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Juan Surgical, LLC's NPI number?

The NPI number for San Juan Surgical, LLC is 1508176850. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is San Juan Surgical, LLC located?

San Juan Surgical, LLC is located at 622 W Maple St Ste C, Farmington, NM 87401. The listed phone number is (505) 327-9694.

What is San Juan Surgical, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for San Juan Surgical, LLC was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.