Provider Demographics
NPI:1902862550
Name:SAIS, GERARD J (MD)
Entity Type:Individual
Prefix:
First Name:GERARD
Middle Name:J
Last Name:SAIS
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 1:2209 ALHAMBRA CIR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2106
Mailing Address - Country:US
Mailing Address - Phone:305-332-1972
Mailing Address - Fax:305-446-5712
Practice Address - Street 1:6401 SW 87TH AVE
Practice Address - Street 2:SUITE 122
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2500
Practice Address - Country:US
Practice Address - Phone:305-271-8394
Practice Address - Fax:305-446-5712
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 521392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11903OtherBLUE CROSS BLUE SHIELD
FL300131770OtherRAILROAD MEDICARE
FL285183OtherAVMED
FL041309OtherNHP
FL052239200Medicaid
FL300131770OtherRAILROAD MEDICARE
11903Medicare PIN