| Organization Name: | NEW MEXICO SEXUALLY TRANSMITTED DISEASE PREVENTION PROGRAM |
| NPI Number: | 1073714879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAIME G. VEGA-HERNANDEZ (PROGRAM MANAGER) |
| Mailing Address: | 1190 S Saint Francis Dr Suite South 1150 Santa Fe |
| State: | NM US |
| Postal Code: | 875054173 |
| Phone Number: | 5054763611 |
| Fax Number: | 5054763638 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 09/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |