Healthcare Provider Details

I. General information

NPI: 1891337119
Provider Name (Legal Business Name): RICARDO SAEZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 09/22/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 NW 7TH STREET SUITE 370
MIAMI FL
33126-3431
US

IV. Provider business mailing address

5040 NW 7TH STREET SUITE 370
MIAMI FL
33126-3431
US

V. Phone/Fax

Practice location:
  • Phone: 305-648-1087
  • Fax: 305-648-1088
Mailing address:
  • Phone: 305-648-1087
  • Fax: 305-648-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11004378
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: