Healthcare Provider Details

I. General information

NPI: 1386957744
Provider Name (Legal Business Name): REGINA H. SAENZ, DDS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N KROME AVE STE 204
HOMESTEAD FL
33030-4455
US

IV. Provider business mailing address

950 N KROME AVE STE 204
HOMESTEAD FL
33030-4455
US

V. Phone/Fax

Practice location:
  • Phone: 305-245-6633
  • Fax: 305-245-9633
Mailing address:
  • Phone: 305-245-6633
  • Fax: 305-245-9633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License NumberDN15235
License Number StateFL

VIII. Authorized Official

Name: DR. REGINA H. SAENZ
Title or Position: OWNER/ORAL SURGEON
Credential: DDS,PA
Phone: 305-245-6633