Healthcare Provider Details

I. General information

NPI: 1316944416
Provider Name (Legal Business Name): CARLOS B SAENZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

IV. Provider business mailing address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-4474
  • Fax: 407-894-7136
Mailing address:
  • Phone: 407-894-4474
  • Fax: 407-894-7136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME0053551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: