Provider Demographics
NPI:1316513591
Name:SAINZ, RICARDO
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name: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 1:2198 E CAMELBACK RD STE 270
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4770
Mailing Address - Country:US
Mailing Address - Phone:602-535-5686
Mailing Address - Fax:
Practice Address - Street 1:2921 S 74TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-7620
Practice Address - Country:US
Practice Address - Phone:602-535-5686
Practice Address - Fax:602-535-5912
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child