Provider Demographics
NPI:1558747956
Name:NEUROPSYCHOLOGY ASSOCIATES OF MIAMI
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGY ASSOCIATES OF MIAMI
Other - Org Name:PEDRO A SAEZ PHD LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:888-456-2545
Mailing Address - Street 1:9065 SW 87TH AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2314
Mailing Address - Country:US
Mailing Address - Phone:888-456-2545
Mailing Address - Fax:888-456-2545
Practice Address - Street 1:9065 SW 87TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2314
Practice Address - Country:US
Practice Address - Phone:888-456-2545
Practice Address - Fax:888-456-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9289103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty