Provider Demographics
NPI:1821220963
Name:SAIZ, RICARDO (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:
Last Name:SAIZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:RICARDO
Other - Middle Name:
Other - Last Name:SAIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:7380 SW 107TH AVE
Mailing Address - Street 2:1111
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2795
Mailing Address - Country:US
Mailing Address - Phone:305-279-9968
Mailing Address - Fax:
Practice Address - Street 1:10794 PINES BLVD
Practice Address - Street 2:205
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3920
Practice Address - Country:US
Practice Address - Phone:954-538-8543
Practice Address - Fax:954-431-8153
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105016363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical