MEDICARE: DR. REBECCA INES SAENZ M.D.

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	2080P0205X	Pediatric Endocrinology Physician	9879	PR

General Provider Information

NPI Number	:	1831173723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA INES SAENZ M.D.

Provider Business Mailing Address
First Line	:	25-11 CALLE 15
Second Line	:	URB. SANTA ROSA
City	:	BAYAMON
State	:	PR
Zip	:	00959-6554
Country	:	US
Telephone Number	:	787-708-8904
Fax Number	:	787-708-8904

Provider Business Practice Location Address
First Line	:	258 CALLE SAN JORGE
Second Line	:	SAN JORGE MEDICAL BUILDING SUITE 306
City	:	SANTURCE
State	:	PR
Zip	:	00912-3239
Country	:	US
Telephone Number	:	787-268-1274
Fax Number	:	787-268-1274

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

Provider Enumeration Date	:	12/03/2005
Last Update Date	:	07/08/2007

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