Provider Demographics
NPI:1225251184
Name:SAYAGO DE ARAMBURU, MARIA DE LAS MERCEDES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DE LAS
Middle Name:MERCEDES
Last Name:SAYAGO DE ARAMBURU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:M
Other - Middle Name:MERCEDES
Other - Last Name:SAYAGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:067-236-5328
Practice Address - Street 1:5419 N LOVINGTON HWY STE 29
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-9136
Practice Address - Country:US
Practice Address - Phone:575-392-0077
Practice Address - Fax:575-492-1574
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113215207V00000X
WAMD60147418207V00000X
NMMD2017-0243207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM11951516Medicaid