Valencia, Regina A

Valencia, Regina A is an individual health care provider with primary practice located at 1640 Hospital Dr , Santa Fe NM 87505-4754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Valencia, Regina A can be contacted via phone (505) 983-9350.

Contact Information

Primary practice address
1640 Hospital Dr Santa Fe NM 87505-4754
Fax: (505) 955-8763
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 91-337 New Mexico

Profile Details

NPI number 1760402523
LBN Legal business name Valencia, Regina A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 2nd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760402523 NPPES
New Mexico MEDICAID 41872

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