Provider Demographics
NPI:1891771416
Name:SAINZ, JORGE G (MD)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:G
Last Name:SAINZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 N MESA ST # B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1105
Mailing Address - Country:US
Mailing Address - Phone:915-966-9700
Mailing Address - Fax:915-521-1743
Practice Address - Street 1:4321 N MESA ST # B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1105
Practice Address - Country:US
Practice Address - Phone:915-966-9700
Practice Address - Fax:915-521-1743
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL55422080P0203X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156930303Medicaid
H80036Medicare UPIN
TX8D9316Medicare ID - Type Unspecified