Vanessa D Licona Sanjuan (NPI# 1386958825, PAC ID# 4688893019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1386958825 |
| PAC ID by PECOS | 4688893019 |
| Professional Enrollment ID | I20140917002731 |
| Full Name | Vanessa D Licona Sanjuan |
| Organization Legal Name | SOUTHWEST MEDICAL ASSOCIATES, LLC |
| Address |
9501 Paseo Del Norte Ne C General Surgery Albuquerque NM 87122-2999 |
| Phone Number | 5057274000 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 7214831114 |
| Number of Group Practice Members | 241 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320009 | LOVELACE MEDICAL CENTER |
| 320017 | LOVELACE WOMEN'S HOSPITAL |
| 320074 | LOVELACE WESTSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9501 Paseo Del Norte Ne C, General Surgery, Albuquerque, NM 87122-2999 | 5057274000 | SOUTHWEST MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | SOUTHWEST MEDICAL ASSOCIATES, LLC |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda S Baker | Nurse Practitioner | Southwest Medical Associates, LLC | 4420 Irving Blvd Nw, Lovelace Medical Group, Albuquerque, NM 87114-5915 |
| Kyle K Maestas | Physician Assistant | Southwest Medical Associates, LLC | 101 Hospital Loop Ne, 201 Orthopedics/podiatry, Albuquerque, NM 87109-2128 |
| Zibin Zhao | Orthopedic Surgery | Southwest Medical Associates, LLC | 9501 Paseo Del Norte Ne C, General Surgery, Albuquerque, NM 87122-2999 |
| Fredie Colon Diaz | Internal Medicine | Southwest Medical Associates, LLC | 3900 Las Estancias Court Sw, Lovelace Medical Group, Albuquerque, NM 87121-5513 |
| John A Bond | Family Medicine | Southwest Medical Associates, LLC | 6701 Jefferson St Ne, Lovelace Medical Group, Albuquerque, NM 87109-4318 |
| Christopher R Carter | Gastroenterology | Southwest Medical Associates, LLC | 4705 Montgomery Blvd Ne, 102 Lovelace Gastroenterology, Albuquerque, NM 87109-1246 |
| Kader T Abdelerahman | Neurology | Southwest Medical Associates, LLC | 10501 Golf Course Rd Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| Earl August Latimer Iii | Orthopedic Surgery | Southwest Medical Associates, LLC | 115 E 19th St, Lovelace Medical Group/scor, Roswell, NM 88201-5110 |
| Patricia A Heinz | Certified Nurse Midwife (cnm) | Southwest Medical Associates, LLC | 4701 Montgomery Blvd Ne, Lovelace Womens Hospital, Albuquerque, NM 87109-1219 |
| Timothy W Perez | General Surgery | Southwest Medical Associates, LLC | 715 Dr Martin Luther King Jr Ave Ne, 301 General Surgery, Albuquerque, NM 87102-3668 |
| Street Address |
9501 PASEO DEL NORTE NE C GENERAL SURGERY |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87122-2999 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zibin Zhao | Orthopedic Surgery | Southwest Medical Associates, LLC | 9501 Paseo Del Norte Ne C, General Surgery, Albuquerque, NM 87122-2999 |
| Edmee Rodriguez | Internal Medicine | Southwest Medical Associates, LLC | 9501 Paseo Del Norte Ne C, General Surgery, Albuquerque, NM 87122-2999 |
| Michelle C Underwood | Physician Assistant | Southwest Medical Associates, LLC | 9501 Paseo Del Norte Ne C, General Surgery, Albuquerque, NM 87122-2999 |
| Bianca A Mcdermott | Psychologist, Clinical | Southwest Medical Associates, LLC | 9501 Paseo Del Norte Ne C, General Surgery, Albuquerque, NM 87122-2999 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford C Richards | Psychologist, Clinical | Bradford C. Richards | 1 San Rafael Ave Ne, Cognitive Behavioral Institute, Albuquerque, NM 87122-1116 |
| Matthew T Sewell | Psychologist, Clinical | Bradford C. Richards | 1 San Rafael Ave Ne, Cognitive Behavioral Institute, Albuquerque, NM 87122-1116 |
| Duyen B Vo | Psychiatry | Bradford C. Richards | 1 San Rafael Ave Ne, Cognitive Behavioral Institute, Albuquerque, NM 87122-1116 |
| Nicholas D Wignall | Psychologist, Clinical | Bradford C. Richards | 1 San Rafael Ave Ne, Cognitive Behavioral Institute, Albuquerque, NM 87122-1116 |
| Douglas James Alden | Diagnostic Radiology | Glendora Radiological Assoc Inc | 373 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1424 |
| Mary Ann Conley | Psychologist, Clinical | 725 -13 Tramway Vista Loop Ne, Albuquerque, NM 87122-1669 | |
| Richard A Hammer | Diagnostic Radiology | On-line Radiology Medical Group Inc | 699 Bluebird Ln Ne, Albuquerque, NM 87122-1805 |
| Radka T Toscova | Psychologist, Clinical | 17 Sandia Heights Dr Ne, Albuquerque, NM 87122-2009 | |
| Clark Bearsmith | Physical Therapy | Balanced Physical Therapy and Wellness LLC | 7849 Tramway Blvd Ne, Suite A, Albuquerque, NM 87122-2529 |
| Stacey F Esch | Occupational Therapy | Balanced Physical Therapy and Wellness LLC | 7849 Tramway Blvd Ne, Suite A, Albuquerque, NM 87122-2529 |
| Find all physicians in zip 87122 | |||
| City | ALBUQUERQUE |
| Zip Code | 87122 |
| Specialty | NEUROLOGY |
| City + Specialty | ALBUQUERQUE + NEUROLOGY |
Please comment or provide details below to improve the information on Vanessa D Licona Sanjuan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.