Healthcare Provider Details

I. General information

NPI: 1417091000
Provider Name (Legal Business Name): CONCEPCION L SAINZ AS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 SW 40TH ST STE 342
MIAMI FL
33175-3582
US

IV. Provider business mailing address

11760 SW 40TH ST STE 342
MIAMI FL
33175-3582
US

V. Phone/Fax

Practice location:
  • Phone: 305-225-5727
  • Fax: 305-225-5789
Mailing address:
  • Phone: 305-225-5727
  • Fax: 305-225-5789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: