Provider Demographics
NPI:1700554813
Name:FELIPE SAINZ, JESUS W
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:W
Last Name:FELIPE SAINZ
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 1:1432 VENETIA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2260
Mailing Address - Country:US
Mailing Address - Phone:786-510-0304
Mailing Address - Fax:
Practice Address - Street 1:1432 VENETIA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2260
Practice Address - Country:US
Practice Address - Phone:786-510-0304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty