Provider Demographics
NPI:1083498075
Name:SAENZ, ANDRE SEBASTIAN
Entity Type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:SEBASTIAN
Last Name:SAENZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LUIS A. FERRE HIGHWAY, EXIT #21
Mailing Address - Street 2:ROAD 172 CAGUAS TO CIDRA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-743-3038
Mailing Address - Fax:
Practice Address - Street 1:LUIS A. FERRE , EXIT #21
Practice Address - Street 2:ROAD 172 CAGUAS TO CIDRA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program