Healthcare Provider Details

I. General information

NPI: 1598868887
Provider Name (Legal Business Name): RUBEN SAENZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 VIEJO RD
CARMEL CA
93923-9438
US

IV. Provider business mailing address

587 VIEJO RD
CARMEL CA
93923-9438
US

V. Phone/Fax

Practice location:
  • Phone: 831-375-3512
  • Fax: 831-333-9712
Mailing address:
  • Phone: 831-375-3512
  • Fax: 831-333-9712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG12283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: