Healthcare Provider Details

I. General information

NPI: 1871723130
Provider Name (Legal Business Name): ST. VINCENT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SAINT MICHAELS DR
SANTA FE NM
87505-7601
US

IV. Provider business mailing address

455 SAINT MICHAELS DR PHYSICIAN PRACTICES
SANTA FE NM
87505-7601
US

V. Phone/Fax

Practice location:
  • Phone: 505-988-3975
  • Fax: 505-946-3091
Mailing address:
  • Phone: 505-988-3975
  • Fax: 505-986-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LILLIAN MONTOYA
Title or Position: CEO
Credential:
Phone: 505-913-5201