Healthcare Provider Details

I. General information

NPI: 1609017342
Provider Name (Legal Business Name): PEDRO ALEJANDRO SAEZ PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: PEDO A. SAEZ PHD

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 N KENDALL DR STE 809
MIAMI FL
33156-7597
US

IV. Provider business mailing address

7700 N KENDALL DR STE 809
MIAMI FL
33156-7597
US

V. Phone/Fax

Practice location:
  • Phone: 888-456-2545
  • Fax: 888-456-2545
Mailing address:
  • Phone: 888-456-2545
  • Fax: 888-456-2545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY9282
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY9282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: