Healthcare Provider Details

I. General information

NPI: 1043212632
Provider Name (Legal Business Name): RAMON A SAAVEDRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 HILLRISE DR STE 1
LAS CRUCES NM
88011-4776
US

IV. Provider business mailing address

2550 TIFFANY DR
LAS CRUCES NM
88011-0808
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-4040
  • Fax: 575-647-8381
Mailing address:
  • Phone: 575-642-6738
  • Fax: 575-526-7112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number93-144
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: