San Juan Surgical, LLC
NPI 1508176850ActiveOrganization· Surgery, Vascular Surgery· Farmington, NM
Surgery, Vascular Surgery in Farmington, New Mexico, registered in NPPES in October 2010. The authorized official on file is Amy M. Robison, Owner.
Overview
| NPI | 1508176850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2010 |
| Last updated in NPPES | Oct 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | NM |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|