Healthcare Provider Details

I. General information

NPI: 1285903328
Provider Name (Legal Business Name): SARA MARIE SANCHEZ L.M, C.P.M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E IDAHO AVE STE 3A
LAS CRUCES NM
88001-4702
US

IV. Provider business mailing address

PO BOX 308
RADIUM SPRINGS NM
88054-0308
US

V. Phone/Fax

Practice location:
  • Phone: 575-571-9008
  • Fax: 575-993-5108
Mailing address:
  • Phone: 575-571-9008
  • Fax: 575-993-5108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number11092R
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: