Provider Demographics
NPI:1891446951
Name:SAIZ, DARWIN
Entity Type:Individual
Prefix:
First Name:DARWIN
Middle Name:
Last Name:SAIZ
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 1:11330 NW 32ND PL
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1410
Mailing Address - Country:US
Mailing Address - Phone:786-488-9542
Mailing Address - Fax:
Practice Address - Street 1:11330 NW 32ND PL
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1410
Practice Address - Country:US
Practice Address - Phone:786-488-9542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL863325Medicaid