Provider Demographics
NPI:1720042260
Name:SAEZ, MYRIAM MILAGROS (MD)
Entity Type:Individual
Prefix:MISS
First Name:MYRIAM
Middle Name:MILAGROS
Last Name:SAEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2135
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2135
Mailing Address - Country:US
Mailing Address - Phone:787-215-8957
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO GUAYACAN
Practice Address - Street 2:SUITE 110
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-1941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16341208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-57522Medicare UPIN
PR2-4078Medicare PIN