Healthcare Provider Details

I. General information

NPI: 1669456117
Provider Name (Legal Business Name): SAEZ MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8768 SW 8TH ST
MIAMI FL
33174-3201
US

IV. Provider business mailing address

8768 SW 8TH ST
MIAMI FL
33174-3201
US

V. Phone/Fax

Practice location:
  • Phone: 305-552-1840
  • Fax: 305-552-1843
Mailing address:
  • Phone: 305-552-1840
  • Fax: 305-552-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberHCC6092
License Number StateFL

VIII. Authorized Official

Name: MR. JAVIER SAEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-552-1840