Healthcare Provider Details

I. General information

NPI: 1780665141
Provider Name (Legal Business Name): ROLANDO E. SAENZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 SAINT LANDRY ST
LAFAYETTE LA
70506-4627
US

IV. Provider business mailing address

PO BOX 61950
LAFAYETTE LA
70596-1950
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-0305
  • Fax: 337-988-2227
Mailing address:
  • Phone: 337-981-0305
  • Fax: 337-988-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number04242R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: