Provider Demographics
NPI:1780665141
Name:SAENZ, ROLANDO E (MD)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:E
Last Name:SAENZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 61950
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70596-1950
Mailing Address - Country:US
Mailing Address - Phone:337-981-0305
Mailing Address - Fax:337-988-2227
Practice Address - Street 1:611 SAINT LANDRY ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4627
Practice Address - Country:US
Practice Address - Phone:337-981-0305
Practice Address - Fax:337-988-2227
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA04242R207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1392812Medicaid
LA1392812Medicaid
LA5K406Medicare PIN