Healthcare Provider Details

I. General information

NPI: 1598701575
Provider Name (Legal Business Name): DR. LUIS SAENZ & ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE SUITE 400
SOUTH MIAMI FL
33143-4716
US

IV. Provider business mailing address

7000 SW 62ND AVE SUITE 400
SOUTH MIAMI FL
33143-4716
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-0585
  • Fax:
Mailing address:
  • Phone: 305-665-0585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberOS9109
License Number StateFL

VIII. Authorized Official

Name: DR. LUIS A SAENZ
Title or Position: MANAGER/PRESIDENT
Credential: D.O.
Phone: 305-498-8816