Provider Demographics
NPI:1609575463
Name:SAENZ, BRISEIDA
Entity Type:Individual
Prefix:
First Name:BRISEIDA
Middle Name:
Last Name:SAENZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14253 LASSO ROCK DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2711
Mailing Address - Country:US
Mailing Address - Phone:915-549-2031
Mailing Address - Fax:915-503-2202
Practice Address - Street 1:14253 LASSO ROCK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2711
Practice Address - Country:US
Practice Address - Phone:915-549-2031
Practice Address - Fax:915-503-2202
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider