MEDICARE: MS. BEGONA SAIZ RCSWI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW7445	FL

General Provider Information

NPI Number	:	1194133298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BEGONA SAIZ RCSWI

Provider Business Mailing Address
First Line	:	5545 SW 8TH ST
Second Line	:	SUITE 206
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2274
Country	:	US
Telephone Number	:	786-762-2952
Fax Number	:	786-762-2953

Provider Business Practice Location Address
First Line	:	5545 SW 8TH ST
Second Line	:	SUITE 206
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2274
Country	:	US
Telephone Number	:	786-762-2952
Fax Number	:	786-762-2953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2014
Last Update Date	:	08/01/2014

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