Provider Demographics
NPI:1952087553
Name:SAEZ SANCHEZ, YANDRO JESUS
Entity Type:Individual
Prefix:
First Name:YANDRO
Middle Name:JESUS
Last Name:SAEZ SANCHEZ
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 1:12780 SW 65TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1309
Mailing Address - Country:US
Mailing Address - Phone:305-345-1783
Mailing Address - Fax:
Practice Address - Street 1:12780 SW 65TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1309
Practice Address - Country:US
Practice Address - Phone:305-345-1783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician